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Individual

ANLY JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
117 LOUIS HENNA BLVD # B, SUITE 200, ROUND ROCK, TX 78664-7343
(512) 255-9634
Mailing address
5080 SPECTRUM DR, SUITE 1200, ADDISON, TX 75001-4648

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47593
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13894
DEAN HEALTH PLAN
01
2012002
PHYSICIANS PLUS
01
34619800
HIRSP
05
34619800
WI
01
390808509
CIGNA
01
390808509DM
UNITY
Enumeration date
07/21/2006
Last updated
02/26/2010
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