Provider Demographics
NPI:1104818897
Name:WESTMORELAND, JAMES (MD PA)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:WESTMORELAND
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 RIVER POINTE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2860
Mailing Address - Country:US
Mailing Address - Phone:936-539-2663
Mailing Address - Fax:936-539-2664
Practice Address - Street 1:1501 RIVER POINTE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2860
Practice Address - Country:US
Practice Address - Phone:936-539-2663
Practice Address - Fax:936-539-2664
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9012207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168529901Medicaid
I17851Medicare UPIN
TX168529901Medicaid