Qualls, James R

Qualls, James R is an individual health care provider with primary practice located at 1505 State Highway 19 S , Athens TX 75751-8950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Qualls, James R can be contacted via phone (903) 675-1725.

Contact Information

Primary practice address
1505 State Highway 19 S Athens TX 75751-8950
Phone: (903) 675-1725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P0656 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10038570 Texas

Profile Details

NPI number 1407141120
LBN Legal business name Qualls, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated May 12th, 2021 - about 3 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 1407141120 NPPES
Texas Other 1L8412 MEDICARE
Texas Other P02604877 MEDICARE
Texas MEDICAID 324380002 MEDICARE

Popular Providers