Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | K1700 | TX |
Y | 111NI0900X | Internist | K1700 | TX |
N | 207U00000X | Nuclear Medicine Specialist | K1700 | TX |
NPI | 1508864554 |
---|---|
Provider Name | Dr. James A Thurow |
First Address | Jacksonville, TX 75766-2453 |
Second Address | Jacksonville, TX 75766-2453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 23/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010AF | B/C B/S OF TX (01) | TX |
096329001 | (05) | TX |
110218075 | MEDICARE RAILROAD (01) | TX |
B57142 | (02) | TX |
K1700 | TX STATE LICENSE (01) | TX |