Individual
JAMES A. CACCITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 S FLEISHEL AVE, STE 5000, TYLER, TX 75701-2015
(903) 606-7525
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L7997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121217
SUPERIOR CHIPS
TX
05
—
165486503
—
TX
01
—
88869G
BCBS OF TEXAS
TX
01
—
TIN PLUS 039
TRICARE
TX
01
—
TIN PLUS 049
TRICARE
TX
Enumeration date
07/31/2006
Last updated
11/06/2024
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