Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 30972 | TX |
NPI | 1003297276 |
---|---|
Provider Name | Dr. James William Mcpherson |
First Address | Amarillo, TX 79124-1698 |
Second Address | Amarillo, TX 79124-1698 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2015 |
Last Update Date | 18/06/2015 |