MEDICARE: JAMES C SHEFFIELD 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	207P00000X	Emergency Medicine Physician	E1130	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1780654210	OTHER	TX	TRICARE SOUTH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8F9288	OTHER	TX	BC/BS PROVIDER NUMBER

General Provider Information

NPI Number	:	1780654210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C SHEFFIELD MD

Provider Business Mailing Address
First Line	:	PO BOX 200993
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-0993
Country	:	US
Telephone Number	:	281-784-1111
Fax Number	:	281-784-1555

Provider Business Practice Location Address
First Line	:	22299 HWY 59 NORTH
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4438
Country	:	US
Telephone Number	:	281-348-1301
Fax Number	:	281-348-1328

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	12/01/2010

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