Individual
MR. JOSEPH EDWARD JUSTICE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(830) 367-5917
Mailing address
928 PRINCESS DIANA DR, MC GREGOR, TX 76657-4088
(830) 367-5917
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01944
TX
Other
Enumeration date
07/13/2009
Last updated
02/07/2013
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