MEDICARE: JAMES T STINNETT 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	2084P0800X	Psychiatry Physician	D3411	TX

General Provider Information

NPI Number	:	1790787190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES T STINNETT M.D.

Provider Business Mailing Address
First Line	:	3500 S IH 35
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-9426
Country	:	US
Telephone Number	:	254-939-2100
Fax Number	:	254-939-2334

Provider Business Practice Location Address
First Line	:	3106 S W S YOUNG DR
Second Line	:	SUITE 201B
City	:	KILLEEN
State	:	TX
Zip	:	76542-2000
Country	:	US
Telephone Number	:	254-519-4162
Fax Number	:	254-519-3464

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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