Doctor Name: | DR. JAMES MASHBURN FITTS |
NPI Number: | 1578763314 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | H0345 |
Business Practice Address: | 1459 W Highway 85 Dilley, TX - 780174601 |
Business Phone Number: | 8308793030 |
Business Fax Number: | |
Mailing Address: | 1459 W Hwy 45, DILLEY |
State: | TX |
Postal Code: | 780174601 |
Phone Number: | 8308793030 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H0345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |