Provider Demographics
NPI:1619119823
Name:CACOZZA, JOSEPH FRANCIS III (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:CACOZZA
Suffix:III
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 1:2414 W UNIVERSITY DR
Mailing Address - Street 2:STE. 112
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2853
Mailing Address - Country:US
Mailing Address - Phone:214-901-7211
Mailing Address - Fax:
Practice Address - Street 1:2414 W UNIVERSITY DR
Practice Address - Street 2:STE. 112
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-2853
Practice Address - Country:US
Practice Address - Phone:214-901-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10810111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor