Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | K1070 | TX |
NPI | 1285639419 |
---|---|
Provider Name | Dr. James Joseph Sorce |
First Address | Mcallen, TX 78503-1294 |
Second Address | Mcallen, TX 78503-1294 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 29/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040010464 | RAILROAD MEDICARE (01) | TX |
109800 | SUPERIOR HEALTH PLANS (01) | TX |
130520301 | (05) | TX |
130520307 | CIDC (01) | TX |
134649100 | VALLEY HEALTH PLANS NUMBE (01) | TX |
176590500 | WORKERS COMPENSATION (01) | TX |
8454J3 | BC/BS TX NUMBER (01) | TX |
G30129 | (02) | TX |