Bothwell, James M

Bothwell, James M is an individual health care provider with primary practice located at 6301 Harris Pkwy Ste 200 , Fort Worth TX 76132-4249. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bothwell, James M can be contacted via phone (817) 433-3450.

Contact Information

Primary practice address
6301 Harris Pkwy Ste 200 Fort Worth TX 76132-4249
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X L4870 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X L4870 Texas

Profile Details

NPI number 1225060155
LBN Legal business name Bothwell, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 5th, 2021 - about 4 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 1225060155 NPPES
Other P00404028 RAILROAD MEDICARE
MEDICAID 174234802 RAILROAD MEDICARE

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