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Individual

DR. JAMES B MADDOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 CLARA BARTON BLVD, STE 200, GARLAND, TX 75042-5740
(972) 272-5555
(972) 272-0317
Mailing address
530 CLARA BARTON BLVD, STE 200, GARLAND, TX 75042-5740
(972) 272-5555
(972) 272-0317

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D6074
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0977316-02
TX
01
75-1708003
FED. EMPLOYER TAX ID NO.
TX
Enumeration date
07/12/2005
Last updated
01/12/2023
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