Individual
JOSHUA A EGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6451 BRENTWOOD STAIR RD, SUITE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
Mailing address
6451 BRENTWOOD STAIR RD, SUITE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301090145
MI
207P00000X
Emergency Medicine Physician
Primary
N6276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215099701
—
TX
01
—
P00896828
RAILROAD
TX
Enumeration date
07/12/2007
Last updated
01/06/2017
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