Individual
JOSEPH DOMINICK PALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 735-2238
(817) 735-2602
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2238
(817) 735-2602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203805101
—
TX
01
—
8CC277
BCBS
TX
01
—
P01142302
RAILROAD MEDICARE
TX
Enumeration date
09/03/2008
Last updated
04/09/2013
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