Individual
JOSHUA KYLE TRUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9186
(682) 518-8619
(682) 518-8195
Mailing address
2975 E BROAD ST STE 200, MANSFIELD, TX 76063-9186
(682) 518-8619
(682) 518-8195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N2852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205422302
—
TX
Enumeration date
06/05/2007
Last updated
03/23/2022
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