Individual
DR. JAMES TRAVIS FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8000 I-10, SUITE 1500, SAN ANTONIO, TX 78230
(210) 201-4021
Mailing address
8000 W IH 10 STE 1500, SAN ANTONIO, TX 78230-3883
(210) 201-2241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T1706
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10062929
TX
Other
Enumeration date
04/09/2018
Last updated
07/12/2022
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