Provider Demographics
NPI:1649476482
Name:DEFRIECE, JOSHUA CHAD (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHAD
Last Name:DEFRIECE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25282 NORTHWEST FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1081
Mailing Address - Country:US
Mailing Address - Phone:281-737-2165
Mailing Address - Fax:281-304-0085
Practice Address - Street 1:25282 NORTHWEST FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1081
Practice Address - Country:US
Practice Address - Phone:281-737-2165
Practice Address - Fax:281-304-0085
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2019-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC30052207Q00000X
TXN6854207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FU589OtherBLUE CROSS BLUE SHIELD
TX322978302Medicaid
TX295009ZSVEMedicaid