Provider Demographics
NPI:1558351288
Name:DEE, JAMES M (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:DEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5846 WOOLDRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2402
Mailing Address - Country:US
Mailing Address - Phone:361-994-8979
Mailing Address - Fax:361-994-8966
Practice Address - Street 1:5846 WOOLDRIDGE RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2402
Practice Address - Country:US
Practice Address - Phone:361-994-8979
Practice Address - Fax:361-994-8966
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5888208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CU536OtherBLUE CROSS BLUE SHIELD
TXTXB129293Medicare PIN
TX8CU536OtherBLUE CROSS BLUE SHIELD