Provider Demographics
NPI:1477505980
Name:JOSEPH, JOHN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2008 E HEBRON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1602
Mailing Address - Country:US
Mailing Address - Phone:972-492-8700
Mailing Address - Fax:972-395-1140
Practice Address - Street 1:2008 E HEBRON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1602
Practice Address - Country:US
Practice Address - Phone:972-492-8700
Practice Address - Fax:972-395-1140
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG2426207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098399102Medicaid
TXC17642Medicare UPIN
TX00FQ93Medicare ID - Type Unspecified