Individual
JOE DANIEL MCAMIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3109 6TH AVE STE B, FT WORTH, TX 76110-3800
(682) 312-7339
(817) 288-0958
Mailing address
1028 TWIN CREEKS DR, WEATHERFORD, TX 76088-4011
(682) 323-6034
(817) 288-0958
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP115602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01412374
AMERIGROUP
TX
05
—
186501601
—
TX
01
—
P00601688
RAILROAD MEDICARE
TX
Enumeration date
02/15/2007
Last updated
08/12/2024
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