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Individual

JOSEPH IMSAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4001
(512) 901-3901
Mailing address
12221 N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4001
(512) 901-3901

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L5382
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164312414
TX
01
P00670472
RRMCR
TX
Enumeration date
07/30/2007
Last updated
11/12/2010
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