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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104836808 | NPPES |
Texas | MEDICAID | P000A36U4 | |
Texas | Other | A36U |
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