MEDICARE: JAMES PEDIATRICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1023872793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES PEDIATRICS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 359
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-0359
Country	:	US
Telephone Number	:	979-743-3520
Fax Number	:	877-829-1531

Provider Business Practice Location Address
First Line	:	40 EAST AVE
Second Line	:
City	:	SCHULENBURG
State	:	TX
Zip	:	78956-1611
Country	:	US
Telephone Number	:	979-743-3520
Fax Number	:	979-743-3542

Authorized Official
Title or Position	:	BILLING SUPERVISOR
Name	:	PAMELA WYANT
Credential	:
Telephone Number	:	979-249-6590

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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