Maynard, James J

Maynard, James J is an sole proprietor health care provider with primary practice located at 500 Grace Lane , Austin TX 78746. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Maynard, James J can be contacted via phone (512) 343-6067.

Contact Information

Primary practice address
500 Grace Lane Austin TX 78746
Phone: (512) 343-6067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1104836808
LBN Legal business name Maynard, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 2nd, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104836808 NPPES
Texas MEDICAID P000A36U4
Texas Other A36U

Popular Providers