Bordelon, James H
Bordelon, James H is an individual health care provider with primary practice located at 1001 12Th Ave Suite 200, Fort Worth TX 76104-3926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Bordelon, James H can be contacted via phone (817) 850-5000.Contact Information
Primary practice address
1001 12Th Ave Suite 200
Fort Worth TX 76104-3926
Phone: (817) 850-5000
Fax: (817) 850-2065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | D9753 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | D9753 | Texas |
Profile Details
| NPI number | 1306888565 |
|---|---|
| LBN Legal business name | Bordelon, James H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 18th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306888565 | NPPES |
| Texas | Other | 8R1399 | BLUE CROSS OF TEXAS |
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