Individual
JOSHUA PAUL DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
753834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219464901
—
TX
05
—
219464902
—
TX
Enumeration date
01/19/2011
Last updated
05/10/2011
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