Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | G1856 | TX |
Y | 208200000X | Surgeon | G1856 | TX |
Y | 208600000X | Surgeon | G1856 | TX |
NPI | 1376803627 |
---|---|
Provider Name | James David Billie |
First Address | Dallas, TX 75225-5423 |
Second Address | Dallas, TX 75225-5423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 21/05/2012 |