Provider Demographics
NPI:1801050935
Name:CAREY, JAMES BRIAN
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:CAREY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 S AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4903
Mailing Address - Country:US
Mailing Address - Phone:903-465-9436
Mailing Address - Fax:903-463-2752
Practice Address - Street 1:1027 S AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4903
Practice Address - Country:US
Practice Address - Phone:903-465-9436
Practice Address - Fax:903-463-2752
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50465237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist