Individual
MR. JOSHUA BRYAN UTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1064
TX
224P00000X
Prosthetist
Primary
1064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064
TEXAS DEPT. OF LICENSING AND REGULATION
TX
Enumeration date
07/26/2018
Last updated
02/24/2022
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