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NPI Code Detail

MEDICARE: DR. JAMES L HUMPHREYS MD

MEDICARE:  DR. JAMES L HUMPHREYS  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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianR..95453TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00902942OTHERTXMEDICARE R/R

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346210523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES L HUMPHREYS MD
Provider Business Mailing Address
First Line : 7418 JOHN SMITH
Second Line : SUITE 218
City : SAN ANTONIO
State : TX
Zip : 78229-6020
Country : US
Telephone Number : 210-614-0959
Fax Number : 210-614-7522
Provider Business Practice Location Address
First Line : 3300 NACOGDOCHES RD
Second Line : SUITE 110
City : SAN ANTONIO
State : TX
Zip : 78217-3373
Country : US
Telephone Number : 210-646-0890
Fax Number : 210-646-7764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 10/05/2016

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Directions to “ DR. JAMES L HUMPHREYS MD” Practice Location

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