MEDICARE: DR. TEDDY CHARLES JAMES 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
1	208D00000X	General Practice Physician	F2732	TX

General Provider Information

NPI Number	:	1487747705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEDDY CHARLES JAMES MD

Provider Business Mailing Address
First Line	:	12739 WOODFOREST BLVD
Second Line	:	STE B
City	:	HOUSTON
State	:	TX
Zip	:	77015-2737
Country	:	US
Telephone Number	:	713-451-5000
Fax Number	:	713-451-2431

Provider Business Practice Location Address
First Line	:	12739 WOODFOREST BLVD
Second Line	:	STE B
City	:	HOUSTON
State	:	TX
Zip	:	77015-2737
Country	:	US
Telephone Number	:	713-451-5000
Fax Number	:	713-451-2431

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

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	05/23/2011

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