Individual
DR. JAMES J. ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17101 DALLAS PKWY, ADDISON, TX 75001-7103
(505) 243-7729
(505) 243-4804
Mailing address
PO BOX 1889, MUNCIE, IN 47308-1889
(505) 243-7729
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2002-0157
NM
207L00000X
Anesthesiology Physician
Primary
R9675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17626820
—
NM
Enumeration date
03/08/2006
Last updated
02/12/2020
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