| James A. Black, M.d. | |
|
4007 James Casey St Suite C110 Austin TX 78745-3369 | |
| (512) 707-8100 | |
| (512) 707-8101 |
| Full Name | James A. Black, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4007 James Casey St, Austin, Texas |
| Authorized Official Name and Position | James A. Black (DOCTOR) |
| Authorized Official Contact | 5127078100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James A. Black, M.d. 4007 James Casey St Suite C110 Austin TX 78745-3369 Ph: (512) 707-8100 | James A. Black, M.d. 4007 James Casey St Suite C110 Austin TX 78745-3369 Ph: (512) 707-8100 |
| NPI Number | 1508045352 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508045352 | NPI | - | NPPES |
| 0010PA | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D9946 (Texas) | Primary |
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