Individual
KEVIN JOSEPH RECORDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 E IDEL ST, TYLER, TX 75701-2024
(903) 535-2902
Mailing address
1020 E IDEL ST, TYLER, TX 75701-2024
(903) 535-2902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
U6557
TX
2086S0102X
Surgical Critical Care Physician
Primary
U6557
TX
2086S0127X
Trauma Surgery Physician
U6557
TX
Other
Enumeration date
03/23/2017
Last updated
09/27/2023
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