Organization
JAMES W HUMPHRIES JR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HUMPHRIES JR. (OWNER/PRESIDENT)
(979) 245-6541
Entity
Organization
Contact information
Practice address
2711 4TH ST, BAY CITY, TX 77414-6309
(979) 245-6541
(979) 245-0118
Mailing address
2711 4TH ST, BAY CITY, TX 77414-6309
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
15170
TX
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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