Individual
THOMAS JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3909 ACAPULCO ST, IRVING, TX 75062-6513
(972) 383-9107
Mailing address
3909 ACAPULCO ST, IRVING, TX 75062-6513
(972) 383-9107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H2496
TX
208D00000X
General Practice Physician
H2496
TX
Other
Enumeration date
07/20/2012
Last updated
08/06/2012
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