James J Dougherty, MD is a
Preventive Medicine - Aerospace Medicine physician based in Canyon Lake, Texas. James J Dougherty is licensed to practice in Texas (license number E4302) and his current practice location is 2454 Island Vw, Canyon Lake, Texas. He can be reached at his office (for appointments etc.) via phone at
(830) 899-7064.
NPI number for James J Dougherty is 1295760544 and his current mailing address is 2454 Island Vw, Canyon Lake, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295760544.
Physician's Profile
| Full Name | James J Dougherty |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 2454 Island Vw, Canyon Lake, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295760544
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/23/2012
Medical Identifiers
Medical identifiers for James J Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295760544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | E4302 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James J Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James J Dougherty, MD
2454 Island Vw,
Canyon Lake, TX 78133-5144
Ph: () - | James J Dougherty, MD
2454 Island Vw,
Canyon Lake, TX 78133-5144
Ph: (830) 899-7064 |
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