Provider Demographics
NPI:1023872793
Name:JAMES PEDIATRICS PLLC
Entity type:Organization
Organization Name:JAMES PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-249-6590
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956-0359
Mailing Address - Country:US
Mailing Address - Phone:979-743-3520
Mailing Address - Fax:877-829-1531
Practice Address - Street 1:40 EAST AVE
Practice Address - Street 2:
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956-1611
Practice Address - Country:US
Practice Address - Phone:979-743-3520
Practice Address - Fax:979-743-3542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty