| Jim P Hussey Dopa | |
|
399 W Campbell Rd Ste 204 Richardson TX 75080-3606 | |
| (972) 234-8868 | |
| (972) 234-8466 |
| Full Name | Jim P Hussey Dopa |
|---|---|
| Speciality | Family Medicine |
| Location | 399 W Campbell Rd Ste 204, Richardson, Texas |
| Authorized Official Name and Position | Jim Pascal Hussey (PHYSICIAN) |
| Authorized Official Contact | 9722348868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim P Hussey Dopa 399 W Campbell Rd Ste 204 Richardson TX 75080-3606 Ph: (972) 234-8868 | Jim P Hussey Dopa 399 W Campbell Rd Ste 204 Richardson TX 75080-3606 Ph: (972) 234-8868 |
| NPI Number | 1306005582 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/09/2008 |
| Medicare PECOS PAC ID | 6800062514 |
|---|---|
| Medicare Enrollment ID | O20111230000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306005582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F3181 (Texas) | Primary |
| Provider Name | James Hussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417035692 PECOS PAC ID: 2860381605 Enrollment ID: I20111230000334 |
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