Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G3822 | TX |
N | 2081S0010X | Sports Medicine | G3822 | TX |
N | 213ES0000X | Sports Medicine | G3822 | TX |
NPI | 1295731750 |
---|---|
Provider Name | James Carl Sterling |
First Address | Dallas, TX 75231-5103 |
Second Address | Dallas, TX 75231-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 08/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123206804 | (05) | TX |
123206805 | (05) | TX |
80821G | BCBS (01) | TX |
8BZ908 | BCBS (01) | TX |
B26688 | (02) |