Provider Demographics
NPI:1922543289
Name:JOSEPH CALDWELL, JOY ARLENE
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ARLENE
Last Name:JOSEPH CALDWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 MANUEL GAMEROS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3190
Mailing Address - Country:US
Mailing Address - Phone:915-422-6576
Mailing Address - Fax:
Practice Address - Street 1:5432 MANUEL GAMEROS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3190
Practice Address - Country:US
Practice Address - Phone:915-422-6576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1625874385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child