Organization
JAMES A. BLACK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A. BLACK M.D. (DOCTOR)
(512) 707-8100
Entity
Organization
Contact information
Practice address
4007 JAMES CASEY ST, SUITE C110, AUSTIN, TX 78745-3369
(512) 707-8100
(512) 707-8101
Mailing address
4007 JAMES CASEY ST, SUITE C110, AUSTIN, TX 78745-3369
(512) 707-8100
(512) 707-8101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D9946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010PA
BCBS
TX
Enumeration date
10/29/2007
Last updated
10/29/2007
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