Provider Demographics
NPI:1902816952
Name:PIPER, JOSEPH N (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:N
Last Name:PIPER
Suffix:
Gender:M
Credentials:DO
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 669
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-0669
Mailing Address - Country:US
Mailing Address - Phone:254-368-0183
Mailing Address - Fax:
Practice Address - Street 1:1101 WOODSON DR
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:TX
Practice Address - Zip Code:77836-1052
Practice Address - Country:US
Practice Address - Phone:979-567-2226
Practice Address - Fax:979-567-2228
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5181207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163133501Medicaid
TX8K6231OtherBLUE CROSS BLUE SHIELD