Provider Demographics
NPI:1043747934
Name:PRINCE, JAMES P (PT, DPT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:PRINCE
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 SADDLE FRST
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3695
Mailing Address - Country:US
Mailing Address - Phone:281-382-9293
Mailing Address - Fax:
Practice Address - Street 1:6704 GUADA COMA DR
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3247
Practice Address - Country:US
Practice Address - Phone:210-614-6432
Practice Address - Fax:210-293-1183
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1289862225100000X
NM5051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist