IndividualActive
James Dougherty, MD
NPI 1295760544 · Aerospace Medicine Physician · Canyon Lake, TX
Provider details
- NPI number
- 1295760544
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- E4302 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2454 Island Vw
Canyon Lake, TX 78133-5144
Phone: (830) 899-7064
Approximate (ZIP-level) locationGet directions
Mailing address
2454 Island Vw
Canyon Lake, TX 78133-5144
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2012-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.