Individual
JOSEPH RADZEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
431 E STATE HIGHWAY 114 STE 450, SOUTHLAKE, TX 76092-4417
(817) 912-1610
(817) 912-1611
Mailing address
431 E STATE HIGHWAY 114 STE 450, SOUTHLAKE, TX 76092-4417
(817) 912-1610
(817) 912-1611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2023016051
MO
208600000X
Surgery Physician
Primary
W0086
TX
Other
Enumeration date
04/28/2016
Last updated
11/07/2025
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