Provider Demographics
NPI:1588615397
Name:DAJOSE, JOSEPH N (LPT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:N
Last Name:DAJOSE
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8153 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2032
Mailing Address - Country:US
Mailing Address - Phone:713-722-8799
Mailing Address - Fax:713-722-8830
Practice Address - Street 1:8153 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2032
Practice Address - Country:US
Practice Address - Phone:713-722-8799
Practice Address - Fax:713-722-8830
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPT1054807174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist