Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | H2713 | TX |
Y | 208600000X | Surgeon | H2713 | TX |
N | 2086S0129X | Vascular Surgeon | H2713 | TX |
NPI | 1053317156 |
---|---|
Provider Name | Dr. James Earl Redfield |
First Address | Tupelo, MS 38803-3488 |
Second Address | Nacogdoches, TX 75961-4453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 11/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F28755 | (02) | TX |