Provider Demographics
NPI:1023045978
Name:PURCELL, JOAN SAUNDERS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:SAUNDERS
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4800 W PANTHER CREEK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2563
Mailing Address - Country:US
Mailing Address - Phone:281-364-8600
Mailing Address - Fax:281-298-2005
Practice Address - Street 1:4800 W PANTHER CREEK DR
Practice Address - Street 2:STE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-2563
Practice Address - Country:US
Practice Address - Phone:281-364-8600
Practice Address - Fax:281-298-2005
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH94742080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG10060Medicare UPIN