Individual
JAMES JOHNATHAN ATTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 200, AUSTIN, TX 78705-1019
(512) 324-2720
Mailing address
3705 MEDICAL PKWY, SUITE 200, AUSTIN, TX 78705-1019
(512) 324-2720
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A121674
CA
207Y00000X
Otolaryngology Physician
Primary
Q7633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360459701
—
TX
05
—
360459702
—
TX
05
—
360459703
—
TX
05
—
360459704
—
TX
Enumeration date
07/20/2012
Last updated
10/28/2016
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