Basic Information
Provider Information
NPI: 1366423816
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: JAMES
MiddleName: M
NamePrefix: DR.
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 840853
Address2:  
City: DALLAS
State: TX
PostalCode: 752840853
CountryCode: US
TelephoneNumber: 9722331999
FaxNumber: 9722333666
Practice Location
Address1: 3705 MEDICAL PKWY
Address2: SUITE 570
City: AUSTIN
State: TX
PostalCode: 78705
CountryCode: US
TelephoneNumber: 5124542454
FaxNumber: 5124541532
Other Information
ProviderEnumerationDate: 11/10/2005
LastUpdateDate: 09/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XH9789TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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