Provider Demographics
NPI:1013420694
Name:DASS, JOSHINA (NP)
Entity Type:Individual
Prefix:
First Name:JOSHINA
Middle Name:
Last Name:DASS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6714 AQUA FLS
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3569
Mailing Address - Country:US
Mailing Address - Phone:832-398-9245
Mailing Address - Fax:281-338-0722
Practice Address - Street 1:200 W MEDICAL CENTER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4224
Practice Address - Country:US
Practice Address - Phone:281-338-0700
Practice Address - Fax:281-338-0722
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP135494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP135494OtherTEXAS BOARD OF NURSING
TXF09171400OtherAANP