Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | E0082840 | TX |
NPI | 1124278239 |
---|---|
Provider Name | Dr. James Curtis Douthitt |
First Address | Amarillo, TX 79124-2139 |
Second Address | Amarillo, TX 79124-2139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2008 |
Last Update Date | 25/09/2008 |