Maxwell, John A

Maxwell, John A is an individual health care provider with primary practice located at 100 Medical Drive , Lake Jackson TX 77566-5674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Maxwell, John A can be contacted via phone (979) 285-1937.

Contact Information

Primary practice address
100 Medical Drive Lake Jackson TX 77566-5674
Phone: (979) 285-1937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J2189 Texas

Profile Details

NPI number 1902872369
LBN Legal business name Maxwell, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 19th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902872369 NPPES
Texas Other P00675466 RR MEDICARE
Texas MEDICAID 116444404 RR MEDICARE

Popular Providers