Individual
DR. JUSTIN P JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(800) 443-9672
Mailing address
2201 SE LOOP 820, FORT WORTH, TX 76119-5863
(817) 335-2202
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
6005
OK
207Q00000X
Family Medicine Physician
280771
NY
207QA0505X
Adult Medicine Physician
6005
OK
207QA0505X
Adult Medicine Physician
Primary
S8324
TX
Other
Enumeration date
02/03/2014
Last updated
03/05/2024
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