Provider Demographics
NPI:1861461311
Name:SAILORS, JOSEPH LORIN (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LORIN
Last Name:SAILORS
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:PO BOX 542872
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75354-2872
Mailing Address - Country:US
Mailing Address - Phone:214-459-1750
Mailing Address - Fax:214-590-6586
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7208
Practice Address - Country:US
Practice Address - Phone:214-590-8177
Practice Address - Fax:214-590-6586
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2621207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147034601Medicaid
H43273Medicare UPIN
8349N0Medicare ID - Type Unspecified