Provider Demographics
NPI:1154916013
Name:MCPHERSON, JAMES BRIAN (CP LP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BRIAN
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:CP LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1834
Mailing Address - Country:US
Mailing Address - Phone:903-595-2600
Mailing Address - Fax:
Practice Address - Street 1:701 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1834
Practice Address - Country:US
Practice Address - Phone:903-595-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1261335E00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No335E00000XSuppliersProsthetic/Orthotic Supplier