Individual
JOYCE E MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3410
(817) 336-8611
(682) 336-2823
Mailing address
1300 W LANCASTER, FORT WORTH, TX 76102-3484
(817) 336-2823
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
K6134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026CV
BCBSTX GRP PIN
TX
05
—
060976001
—
TX
01
—
10024054
AMERIGROUP PIN
TX
01
—
118781100
FIRSTCARE PIN
TX
01
—
124160
SUPERIOR PIN
TX
05
—
140442813
—
TX
01
—
1548230923
GRP NPI NUMBER
—
01
—
1840371
UHC PIN
TX
01
—
4338797
CIGNA PIN
TX
01
—
43655
FIRSTHEALTH PIN
TX
01
—
4416581
AETNA PIN
TX
01
—
492577
PHCS PIN
TX
01
—
82861S
BCBSTX IND PIN
TX
Enumeration date
10/02/2006
Last updated
02/05/2010
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