Provider Demographics
NPI:1861668493
Name:AMOS, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:AMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23920 KATY FWY
Mailing Address - Street 2:STE 240
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1341
Mailing Address - Country:US
Mailing Address - Phone:281-644-8880
Mailing Address - Fax:281-644-8879
Practice Address - Street 1:23920 KATY FWY
Practice Address - Street 2:STE 240
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1341
Practice Address - Country:US
Practice Address - Phone:281-644-8880
Practice Address - Fax:281-644-8879
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN9340208100000X, 208VP0000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation