Provider Demographics
NPI:1730236795
Name:JAMES T CAIL III DO FAMILY PRACTICE PC
Entity type:Organization
Organization Name:JAMES T CAIL III DO FAMILY PRACTICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CAIL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:580-928-4242
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:OK
Mailing Address - Zip Code:73662-0248
Mailing Address - Country:US
Mailing Address - Phone:580-928-4242
Mailing Address - Fax:580-928-4201
Practice Address - Street 1:1603 N WATTS ST
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:OK
Practice Address - Zip Code:73622
Practice Address - Country:US
Practice Address - Phone:580-928-4242
Practice Address - Fax:580-928-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG80911Medicare UPIN