Dr. James Louis Wasson
Obstetrician & Gynecologist Gynecologist Obstetrician Gynecologic Oncologist and 2 more
649 S Broadway Ave Ste 2
Tyler
, Texas 75701-1677
Dr. James Louis Wasson
Obstetrician & Gynecologist Gynecologist Obstetrician Gynecologic Oncologist and 2 more
649 S Broadway Ave Ste 2
Tyler
, Texas 75701-1677
(903) 581-2137
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About
Features
Specialties
- Obstetrician & Gynecologist
- Reproductive Endocrinologist
- Gynecologist
- Gynecologist - Maternal & Fetal Medicine
- Obstetrician
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. James Louis Wasson
- 649 S Broadway Ave Ste. 2
- Tyler, TX
- Zip : 75701-1677
- Fax : (903) 581-2137
- Phone : (903) 939-2273
Second Address
- Dr. James Louis Wasson
- 649 S Broadway Ave Ste 2
- Tyler, TX
- Zip : 75701-1677
- Fax : (903) 581-2137
- Phone : (903) 939-2273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | J6274 | TX |
| N | 207VE0102X | Reproductive Endocrinologist | J6274 | TX |
| N | 207VG0400X | Gynecologist | J6274 | TX |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | J6274 | TX |
| N | 207VX0000X | Obstetrician | J6274 | TX |
| N | 207VX0201X | Gynecologic Oncologist | J6274 | TX |
National Provider Identifier
| NPI | 1598736829 |
|---|---|
| Provider Name | Dr. James Louis Wasson |
| First Address | Tyler, TX 75701-1677 |
| Second Address | Tyler, TX 75701-1677 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2006 |
| Last Update Date | 20/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 123576405 | (05) | TX |
| 160059002 | RAILROAD MEDICARE PTAN (01) | TX |
| 61321 | AMERIGROUP (01) | TX |
| 8G2280 | BLUECROSSBLUESHIELD (01) | TX |
| F77441 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.