Provider Demographics
NPI:1114915493
Name:LAMBERT, JOSEPH O (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:O
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4351 BOOTH CALLOWAY RD
Mailing Address - Street 2:#101
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7378
Mailing Address - Country:US
Mailing Address - Phone:817-284-1165
Mailing Address - Fax:817-284-4990
Practice Address - Street 1:4351 BOOTH CALLOWAY RD
Practice Address - Street 2:#101
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7378
Practice Address - Country:US
Practice Address - Phone:817-284-1165
Practice Address - Fax:817-590-2193
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00085631OtherRAILROAD MEDICARE
TX00T83UMedicare PIN
TXP00085631OtherRAILROAD MEDICARE