Individual
JAMES M DEBNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
208024
MA
2085R0202X
Diagnostic Radiology Physician
Primary
M5684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169093501
—
TX
01
—
169093502
CSHCN MEDICAID
TX
01
—
8P1613
BCBS
TX
Enumeration date
06/01/2006
Last updated
08/14/2020
Update your record
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