# JOAN MASTROBATTISTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790724128
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J1725 | TX | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | J1725 | TX | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 05/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 134611601 | CSHCN | TX |
| 05 | — | 134611604 | — | TX |
| 01 | — | 88Y721 | BCBS | TX |