MEDICARE: JAMES L JEAN M.D.

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	2085R0202X	Diagnostic Radiology Physician	K7306	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1376534966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L JEAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5667
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75505-5667
Country	:	US
Telephone Number	:	903-223-1014
Fax Number	:	903-223-1028

Provider Business Practice Location Address
First Line	:	4102 RICHMOND MDWS
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-0067
Country	:	US
Telephone Number	:	903-223-1014
Fax Number	:	903-223-1028

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	12/03/2019

Similar Medicare Providers

1285613349 — SALDINO PROSTHETICS & ORTHOTICS PLLC
Practice Location Address:

4104 RICHMOND MDWS
TEXARKANA, TX
75503-0067

Practice Phone: 903-838-3668
Practice Fax: 903-838-8094

1417992082 — TEXAS FOOT & ANKLE INSTITUTE, PA
Practice Location Address:

4104 RICHMOND MDWS
TEXARKANA, TX
75503-0067

Practice Phone: 903-838-3668
Practice Fax: 903-838-8094

1992784631 — DR. MICHAEL C SALDINO DPM, CPO
Practice Location Address:

4104 RICHMOND MDWS
TEXARKANA, TX
75503-0067

Practice Phone: 903-838-3668
Practice Fax: 903-838-8094

1073504742 — ALAN B JEAN M.D.
Practice Location Address:

4102 RICHMOND MDWS
TEXARKANA, TX
75503-0067

Practice Phone: 903-223-1014
Practice Fax: 903-223-1028

1740271451 — D SCOTT CAMPANINI M.D.
Practice Location Address:

4102 RICHMOND MDWS
TEXARKANA, TX
75503-0067

Practice Phone: 903-223-1014
Practice Fax: 903-223-1028

1548251317 — JOSEPH R ROBBINS M.D.
Practice Location Address:

4102 RICHMOND MDWS
TEXARKANA, TX
75503-0067

Practice Phone: 903-223-1014
Practice Fax: 903-223-1028

Directions to “ JAMES L JEAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.