Deason, James David

Deason, James David is an individual health care provider with primary practice located at 113 N Northwest Loop 323 , Tyler TX 75702-8725. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Deason, James David can be contacted via phone (903) 593-5369.

Contact Information

Primary practice address
113 N Northwest Loop 323 Tyler TX 75702-8725
Phone: (903) 593-5369
Fax: (903) 593-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 18333 Texas

Profile Details

NPI number 1104905017
LBN Legal business name Deason, James David
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1104905017 NPPES
Texas Other 18333 PHARMACIST

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