Individual
DR. JOSHUA CARROLL TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-5586
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD222319
OR
207X00000X
Orthopaedic Surgery Physician
U7284
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
A181459
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
U7284
TX
Other
Enumeration date
04/18/2017
Last updated
10/30/2024
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