Provider Demographics
NPI:1043361421
Name:CAPPS, JOSEPH R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:CAPPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:214 MANSFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9500
Mailing Address - Country:US
Mailing Address - Phone:972-226-2334
Mailing Address - Fax:972-287-6769
Practice Address - Street 1:2113 N HIGHWAY 175
Practice Address - Street 2:FCI SEAGOVILLE, HEALTH SERVICES
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-2237
Practice Address - Country:US
Practice Address - Phone:972-287-4095
Practice Address - Fax:972-287-6769
Is Sole Proprietor?:No
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21686Medicare UPIN
TXQL77Medicare ID - Type Unspecified