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NPI Code Detail

MEDICARE: DR. JAMES M. CALLAS MD

MEDICARE: DR. JAMES M. CALLAS MD
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
12085R0202XDiagnostic Radiology PhysicianL5267TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316933401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES M. CALLAS MD
Provider Business Mailing Address
First Line : 1905 SW H K DODGEN LOOP
Second Line :
City : TEMPLE
State : TX
Zip : 76502-1814
Country : US
Telephone Number : 254-298-2682
Fax Number : 254-778-7197
Provider Business Practice Location Address
First Line : 3800 S W S YOUNG DR STE 201
Second Line :
City : KILLEEN
State : TX
Zip : 76542-3340
Country : US
Telephone Number : 254-245-9175
Fax Number : 254-213-7771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 06/01/2018

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