Individual
JOHN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 BROOK AVE, WICHITA FALLS, TX 76301-4209
(940) 766-0217
(940) 766-0730
Mailing address
808 BROOK AVE, WICHITA FALLS, TX 76301-4209
(940) 766-0217
(940) 766-0730
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M6673
TX
2085R0202X
Diagnostic Radiology Physician
Primary
M6673
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262688YLA1
MEDICARE
TX
01
—
262688YLXB
MEDICARE
TX
01
—
262688YS5Q
MEDICARE
TX
01
—
BP1-0022591
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
12/15/2025
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