Individual
DR. JOY MARISSA WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7323 N LOOP 1604 E STE 601, SAN ANTONIO, TX 78233-2956
(210) 650-3360
Mailing address
1355 CENTRAL PKWY S STE 400, SAN ANTONIO, TX 78232-5057
(210) 653-5501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2014-0550
NM
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R0163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366322101
—
TX
01
—
366322102
CSHCN
TX
05
—
366322103
—
TX
Enumeration date
04/11/2011
Last updated
09/30/2021
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