Provider Demographics
NPI:1518929348
Name:ANTHIS, JOEL NORMAN (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:NORMAN
Last Name:ANTHIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10740 N GESSNER DR
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:23920 KATY FWY
Practice Address - Street 2:STE 430
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1341
Practice Address - Country:US
Practice Address - Phone:281-347-6700
Practice Address - Fax:281-347-6777
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2021-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7744207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038780501Medicaid
TX223684OtherBEECHSTREET
TX81440NMedicare PIN
TX223684OtherBEECHSTREET
TXG84972Medicare UPIN