| Doctor Name: | MS. EDNITRA JAMES |
| NPI Number: | 1457726010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 114086 |
| Business Practice Address: | 36010 Darnall Loop Carl R. Darnall Medical Center Fort Hood, TX - 765445095 |
| Business Phone Number: | 2542888030 |
| Business Fax Number: | |
| Mailing Address: | 1408 Buckboard Trail, COPPERAS COVE |
| State: | TX |
| Postal Code: | 76522 |
| Phone Number: | 2543718873 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 114086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |