Tandy, James R

Tandy, James R is an individual health care provider with primary practice located at 601 W Highway 6 Suite 106, Waco TX 76710-5575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Tandy, James R can be contacted via phone (254) 776-7744.

Contact Information

Primary practice address
601 W Highway 6 Suite 106 Waco TX 76710-5575
Phone: (254) 776-7744
Fax: (254) 751-9211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X J2988 Texas

Profile Details

NPI number 1730127580
LBN Legal business name Tandy, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 17th, 2014 - about 11 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 1730127580 NPPES
Texas MEDICAID 120566801

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