Individual
JEAN R JOSEPH-VANDERPOOL
Active
Individual
JEAN R JOSEPH-VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H8699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085616302
TPI MEDICAID
TX
05
—
085616302
—
TX
05
—
130334903
—
TX
01
—
193200000X
TAXONOMY MULTISPECIALTY
—
01
—
193400000X
TAXONOMY SINGLE SPECIALTY
—
01
—
2084P0800X
TAXONOMY PSYCHIATRY
—
01
—
251B00000X
TAXONOMY CASE MANAGEMENT
—
Enumeration date
10/16/2006
Last updated
01/11/2023
Update your record
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