Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 7491917-8903 | UT |
N | 213EG0000X | General Practice | 7491917-8903 | UT |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 7491917-8903 | UT |
NPI | 1710218490 |
---|---|
Provider Name | Dr. James Martin Mccann |
First Address | El Paso, TX 79932 |
Second Address | Fort Sam Houston, TX 78234-2639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2010 |
Last Update Date | 31/08/2017 |