Provider Demographics
NPI:1689704769
Name:JOSEPH, GEORGE E (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4108 W 15TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5819
Mailing Address - Country:US
Mailing Address - Phone:972-596-8000
Mailing Address - Fax:972-612-2020
Practice Address - Street 1:4108 W 15TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5819
Practice Address - Country:US
Practice Address - Phone:972-596-8000
Practice Address - Fax:972-612-2020
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK6030207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK6030OtherMEDICAL LICENSE
TXK6030OtherMEDICAL LICENSE