Caccitolo, James A.

Caccitolo, James A. is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 5000, Tyler TX 75701-2015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Caccitolo, James A. can be contacted via phone (903) 606-7525.

Contact Information

Primary practice address
703 S Fleishel Ave Ste 5000 Tyler TX 75701-2015
Phone: (903) 606-7525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X L7997 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X L7997 Texas

Profile Details

NPI number 1528074317
LBN Legal business name Caccitolo, James A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 10th, 2014 - about 11 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 1528074317 NPPES
Texas MEDICAID 165486503
Texas Other TIN PLUS 049
Texas Other TIN PLUS 039
Texas Other 121217
Texas Other 88869G

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