Individual provider · NPI-1

James A. Caccitolo, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Tyler, TX

NPI number1528074317
StatusActive
Last updated in NPPESNov 6, 2024

Details

NPI
1528074317
Entity type
Individual (NPI-1)
Name
James A. Caccitolo
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2006
Certification date
Nov 6, 2024
Last updated
Nov 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)L7997TXYes

Practice location

703 S Fleishel Ave
Ste 5000
Tyler, TX 75701-2015

Phone 903-606-7525

Mailing address

Po Box 846098
Dallas, TX 75284-6098

Phone 903-324-6450

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