Herbert, James Waldo

Herbert, James Waldo is an individual health care provider with primary practice located at 314 E Twohig Ave , San Angelo TX 76903-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Herbert, James Waldo can be contacted via phone (325) 653-6944.

Contact Information

Primary practice address
314 E Twohig Ave San Angelo TX 76903-5502
Phone: (325) 653-6944
Fax: (325) 658-6500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D9492 Texas

Profile Details

NPI number 1497738645
LBN Legal business name Herbert, James Waldo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 7th, 2010 - about 15 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 1497738645 NPPES
Texas Other 00JT67 BLUE CROSS ID
Texas MEDICAID 130369502 BLUE CROSS ID

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