Provider Demographics
NPI:1497898548
Name:MCAMIS, JOE DANIEL JR (PMHNP)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:DANIEL
Last Name:MCAMIS
Suffix:JR
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 W 7TH ST
Mailing Address - Street 2:APT 1821
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-9307
Mailing Address - Country:US
Mailing Address - Phone:682-323-6034
Mailing Address - Fax:817-426-8111
Practice Address - Street 1:3109 6TH AVE STE B
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-3800
Practice Address - Country:US
Practice Address - Phone:682-312-7339
Practice Address - Fax:817-288-0958
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX736361363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01412374OtherAMERIGROUP
TXP00601688OtherRAILROAD MEDICARE
TX186501601Medicaid
TX612820Medicare PIN