Provider Demographics
NPI:1851384226
Name:AGRIS, JOSEPH (MD DDS FACS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:AGRIS
Suffix:
Gender:M
Credentials:MD DDS FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN
Mailing Address - Street 2:STE. 1730
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-797-1700
Mailing Address - Fax:713-797-6292
Practice Address - Street 1:6560 FANNIN
Practice Address - Street 2:STE. 1730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-797-1700
Practice Address - Fax:713-797-6292
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6705208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20806Medicare UPIN
TX00AL46Medicare ID - Type Unspecified