MEDICARE: BRIAN JAMES

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	222Z00000X	Orthotist	1688	TX
2	224P00000X	Prosthetist	1688	TX

General Provider Information

NPI Number	:	1063953131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN JAMES

Provider Business Mailing Address
First Line	:	2222 PROCTOR DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-3428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15900 PRESTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-3551
Country	:	US
Telephone Number	:	214-382-9270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	03/09/2017

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Directions to “ BRIAN JAMES ” Practice Location

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