Polk, James David
Polk, James David is an individual health care provider with primary practice located at Johnson Space Center- Nasa Flight Medicine Clinic 2101 Nasa Road 1, Houston TX 77058. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Polk, James David can be contacted via phone (281) 483-6063.Contact Information
Primary practice address
Johnson Space Center- Nasa Flight Medicine Clinic 2101 Nasa Road 1
Houston TX 77058
Phone: (281) 483-6063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L2558 | Texas |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | L2558 | Texas |
Profile Details
| NPI number | 1194703447 |
|---|---|
| LBN Legal business name | Polk, James David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1194703447 | NPPES |
| Ohio | MEDICAID | 0995179 |
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