Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | J6096 | TX |
Y | 208600000X | Surgeon | J6096 | TX |
N | 2086S0102X | Surgical Critical Care | J6096 | TX |
NPI | 1013950625 |
---|---|
Provider Name | James Cross |
First Address | Augusta, GA 30914-2187 |
Second Address | Plano, TX 75075-6172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 19/03/2021 |