Provider Demographics
NPI:1376853770
Name:MASDEU, JOSEPH C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:MASDEU
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:6560 FANNIN ST STE 802
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2726
Mailing Address - Country:US
Mailing Address - Phone:137-441-1150
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL INSTITUTES OF HEALTH
Practice Address - Street 2:BUILDING 10, ROOM 3C111
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-443-2096
Practice Address - Fax:301-496-7437
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2020-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ48042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology