Basic Information
Provider Information
NPI: 1255329686
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PYLE
FirstName: JAMES
MiddleName: G
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7401 MAIN ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304509
CountryCode: US
TelephoneNumber: 7137992300
FaxNumber: 7137943380
Practice Location
Address1: 4201 GARTH RD
Address2: SUITE 107
City: BAYTOWN
State: TX
PostalCode: 775213167
CountryCode: US
TelephoneNumber: 2814274400
FaxNumber: 2814278750
Other Information
ProviderEnumerationDate: 10/10/2005
LastUpdateDate: 03/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XF4397TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
P0111451101TXRR MEDICAREOTHER
125532968601TXBLUE CROSS BLUE SHIELDOTHER
60177110601 US DEPT OF LABOROTHER
61677110101 US DEPT OF LABOROTHER
61677111001 US DEPT OF LABOROTHER
P0125525401TXMEDICARE RROTHER
61677110501 US DEPT OF LABOROTHER
12358550205TX MEDICAID
12358550605TX MEDICAID
12358550505TX MEDICAID


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