MEDICARE: GEORGE C JAMES MD, PA

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1992148910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE C JAMES MD, PA

Provider Business Mailing Address
First Line	:	PO BOX 136392
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76136-0392
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6709 LAHONTAN DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-5461
Country	:	US
Telephone Number	:	682-224-9061
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GEORGE C JAMES
Credential	:	MD
Telephone Number	:	682-224-9061

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	04/09/2013

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