Provider Demographics
NPI:1386947919
Name:KING, JAMES W
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:KING
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 1:4009 BELLAIRE BLVD
Mailing Address - Street 2:SUITE M
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1168
Mailing Address - Country:US
Mailing Address - Phone:713-839-7800
Mailing Address - Fax:713-839-7931
Practice Address - Street 1:4009 BELLAIRE BLVD
Practice Address - Street 2:SUITE M
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1168
Practice Address - Country:US
Practice Address - Phone:713-839-7800
Practice Address - Fax:713-839-7931
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100796225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist