Individual
DR. JAMES LOUIS WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACOG
Contact information
Practice address
837 S FLEISHEL AVE, TYLER, TX 75701-2017
(903) 939-2273
(903) 581-2137
Mailing address
837 S FLEISHEL AVE, TYLER, TX 75701-2017
(903) 939-2273
(903) 581-2137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J6274
TX
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
J6274
TX
207VE0102X
Reproductive Endocrinology Physician
J6274
TX
207VG0400X
Gynecology Physician
J6274
TX
207VM0101X
Maternal & Fetal Medicine Physician
J6274
TX
207VX0000X
Obstetrics Physician
J6274
TX
207VX0201X
Gynecologic Oncology Physician
J6274
TX
2471B0102X
Bone Densitometry Radiologic Technologist
J6274
TX
2471S1302X
Sonography Radiologic Technologist
J6274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123576405
—
TX
01
—
160059002
RAILROAD MEDICARE PTAN
TX
01
—
61321
AMERIGROUP
TX
01
—
8G2280
BLUECROSSBLUESHIELD
TX
Enumeration date
01/26/2006
Last updated
02/23/2026
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