Taki, James A

Taki, James A is an individual health care provider with primary practice located at 620 S Main St Suite 240, Keller TX 76248-4960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Taki, James A can be contacted via phone (817) 912-8150.

Contact Information

Primary practice address
620 S Main St Suite 240 Keller TX 76248-4960
Fax: (817) 912-8160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00022057 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q0188 Texas

Profile Details

NPI number 1114002458
LBN Legal business name Taki, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 20th, 2023 - about last year

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 1114002458 NPPES
Washington MEDICAID 1016195

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