Black, James A

Black, James A is an sole proprietor health care provider with primary practice located at 4007 James Casey St Suite C-110, Austin TX 78745-3369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Black, James A can be contacted via phone (512) 707-8100.

Contact Information

Primary practice address
4007 James Casey St Suite C-110 Austin TX 78745-3369
Fax: (512) 707-8101
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D9946 Texas

Profile Details

NPI number 1992818355
LBN Legal business name Black, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Oct 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992818355 NPPES
Texas MEDICAID 185569401

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