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Individual

DR. JAMES A THUROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
203 NACOGDOCHES ST 180, JACKSONVILLE, TX 75766-2453
(903) 589-9858
(903) 589-8328
Mailing address
203 NACOGDOCHES ST 180, JACKSONVILLE, TX 75766-2453
(903) 589-9858
(903) 589-8328

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K1700
TX
207U00000X
Nuclear Medicine Physician
K1700
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010AF
B/C B/S OF TX
TX
05
096329001
TX
01
110218075
MEDICARE RAILROAD
TX
01
K1700
TX STATE LICENSE
TX
Enumeration date
07/13/2005
Last updated
12/23/2015
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