Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | E0823 | TX |
NPI | 1194223644 |
---|---|
Provider Name | James R. Bocell |
First Address | Houston, TX 77005-3435 |
Second Address | Houston, TX 77005-3435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2018 |
Last Update Date | 30/01/2018 |