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Individual

JOSEPH H HISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 GASTON AVENUE, DALLAS, TX 75246
(214) 826-8822
(214) 826-9792
Mailing address
712 N WASHINGTON AVE, SUITE 101, DALLAS, TX 75246-1619
(214) 826-8822
(214) 826-9792

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G8867
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139105415
TX
05
139105416
TX
05
139105417
TX
05
139105418
TX
Enumeration date
05/17/2006
Last updated
02/15/2012
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