Provider Demographics
NPI:1821014564
Name:XAVIER, JOSEPH RAJAKULENDRAN (MD,)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAJAKULENDRAN
Last Name:XAVIER
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219, 6TH STREET S.E
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5907
Mailing Address - Country:US
Mailing Address - Phone:903-785-8858
Mailing Address - Fax:903-785-9514
Practice Address - Street 1:219, 6TH STREET S.E
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-5907
Practice Address - Country:US
Practice Address - Phone:903-785-8858
Practice Address - Fax:903-785-9514
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1251208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100179300AMedicaid