Provider Demographics
NPI:1972555449
Name:HERLIHY, JAMES PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PATRICK
Last Name:HERLIHY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:DEPT 794
Mailing Address - Street 2:PO BOX 4346
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4346
Mailing Address - Country:US
Mailing Address - Phone:713-255-4000
Mailing Address - Fax:713-255-4050
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-255-4000
Practice Address - Fax:713-255-4050
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8269207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R1143OtherBLUE CROSS PROV #
TXP00184432OtherRAILROAD MEDICARE #
TX039337302Medicaid
TX5435057OtherAETNA PROV #
TXP00184432OtherRAILROAD MEDICARE #