Provider Demographics
NPI:1841181542
Name:JAMES, MYRON T (RSPS)
Entity type:Individual
Prefix:
First Name:MYRON
Middle Name:T
Last Name:JAMES
Suffix:
Gender:M
Credentials:RSPS
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:THE GODHEAD AWAKENED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RSPS
Mailing Address - Street 1:3030 SHADOWBRIAR DR APT 611
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-8335
Mailing Address - Country:US
Mailing Address - Phone:346-283-1699
Mailing Address - Fax:
Practice Address - Street 1:3030 SHADOWBRIAR DR APT 611
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-8335
Practice Address - Country:US
Practice Address - Phone:346-283-1699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist