Individual
DR. JOSEPH N BADLISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HIGHWAY 365 STE 112, NEDERLAND, TX 77627-6268
(409) 724-7900
(409) 724-7910
Mailing address
2400 HIGHWAY 365 STE 112, NEDERLAND, TX 77627-6268
(409) 724-7900
(409) 724-7910
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E7808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BJ59
BLUE CROSS BLUE SHIELD
TX
01
—
113928133A
RAILROAD MEDICARE
TX
05
—
127875603
—
TX
Enumeration date
10/13/2006
Last updated
04/12/2012
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