Individual
DR. JAMES L STUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 N MAGDALEN ST, SUITE 120, SAN ANGELO, TX 76903-5400
(325) 653-2010
(325) 658-8583
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G5664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00121N
BLUE CROSS
TX
05
—
045623801
—
TX
01
—
920004776
RAILROAD MEDICARE
TX
Enumeration date
08/30/2005
Last updated
05/02/2017
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