Provider Demographics
NPI:1114779394
Name:EMWINMARHUANMWAN, JOY O (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:O
Last Name:EMWINMARHUANMWAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:O
Other - Last Name:EMWIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16131 EAGLEWOOD SPRING CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5054
Mailing Address - Country:US
Mailing Address - Phone:713-578-0585
Mailing Address - Fax:
Practice Address - Street 1:3401 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-381-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program