Provider Demographics
NPI:1518916063
Name:CAPPEL, JOSEPH W III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:CAPPEL
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:5701 BRYANT IRVIN RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4029
Mailing Address - Country:US
Mailing Address - Phone:817-361-6200
Mailing Address - Fax:817-361-6201
Practice Address - Street 1:5701 BRYANT IRVIN RD
Practice Address - Street 2:SUITE 301
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4029
Practice Address - Country:US
Practice Address - Phone:817-346-4242
Practice Address - Fax:817-346-4252
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2009-07-27
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Provider Licenses
StateLicense IDTaxonomies
TXF0913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113871104Medicaid
TX080180171OtherRR MEDICARE
TX8706B0Medicare ID - Type Unspecified
TXC14175Medicare UPIN