Provider Demographics
NPI:1497058465
Name:DENKE, JOSEPH EDWARD IV (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:DENKE
Suffix:IV
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S FRIENDSWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4825
Mailing Address - Country:US
Mailing Address - Phone:281-993-2122
Mailing Address - Fax:281-993-2122
Practice Address - Street 1:1100 S FRIENDSWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4825
Practice Address - Country:US
Practice Address - Phone:281-993-2122
Practice Address - Fax:281-993-2122
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11638111N00000X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician