Individual
DR. KEVIN BERNARD JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
261 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7046
(817) 310-8783
(855) 640-3872
Mailing address
101 CLEARY CT, SOUTHLAKE, TX 76092-2315
(214) 502-9340
(855) 640-3872
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M4201
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M4201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194239301
—
TX
05
—
194239302
—
TX
01
—
8AR030
BCBS
TX
Enumeration date
12/05/2006
Last updated
09/19/2023
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