Organization
DOMINIC M. JOSEPH MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC M. JOSEPH M.D. (PRESIDENT)
(281) 300-8711
Entity
Organization
Contact information
Practice address
1331 W GRAND PKWY N, SUITE # 320, KATY, TX 77493-2710
(281) 540-9473
(281) 265-2761
Mailing address
1606 PRISTINE WAY, SUGAR LAND, TX 77479-6651
(281) 300-8711
(281) 395-2682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J1278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131226605
—
TX
01
—
J1278
MEDICAL LICENSE
TX
Enumeration date
07/20/2006
Last updated
06/17/2009
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