Provider Demographics
NPI:1871515239
Name:SACKETT, JAMES R (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:SACKETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9301 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0806
Mailing Address - Country:US
Mailing Address - Phone:214-220-2468
Mailing Address - Fax:214-953-1210
Practice Address - Street 1:9301 N CENTRAL EXPY STE 500
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0805
Practice Address - Country:US
Practice Address - Phone:214-220-2468
Practice Address - Fax:214-720-1982
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2019-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH5963207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094807701OtherCIDC
TX105387801Medicaid
TX200022033OtherRAILROAD MEDICARE
TX200022033OtherRAILROAD MEDICARE
TX094807701OtherCIDC