Individual
DR. JAMES N BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6818 AUSTIN CENTER BLVD STE 205, AUSTIN, TX 78731-3100
(512) 344-0450
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G1282
TX
207RC0000X
Cardiovascular Disease Physician
Primary
G1282
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
G1282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105703606
—
TX
05
—
105703607
—
TX
Enumeration date
03/24/2006
Last updated
08/02/2022
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