Individual
DR. JOSEPH VINCENT PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RIVER POINTE DRIVE UTMB CMC, SUITE #200, CONROE, TX 77304
(936) 494-4170
(936) 494-4195
Mailing address
200 RIVER POINTE DRIVE UTMB CMC, SUITE #200, CONROE, TX 77304
(936) 494-4170
(936) 494-4195
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
K7081
TX
2084F0202X
Forensic Psychiatry Physician
MD08849
RI
2084P0800X
Psychiatry Physician
K7081
TX
2084P0800X
Psychiatry Physician
MD08849
RI
2084P0804X
Child & Adolescent Psychiatry Physician
K7081
TX
2084P0804X
Child & Adolescent Psychiatry Physician
MD08849
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007282
—
RI
Enumeration date
12/07/2005
Last updated
10/10/2013
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