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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194703447 NPPES
Ohio MEDICAID 0995179

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