Organization
JOSHUA ROE HAUCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROE HAUCK L.P.C, L.C.D.C (THERAPIST)
(281) 639-4006
Entity
Organization
Contact information
Practice address
21914 SHAMION CT, SPRING, TX 77379-1468
(281) 639-4006
Mailing address
21914 SHAMION CT, SPRING, TX 77379-1468
(281) 639-4006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
69394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367303001
—
TX
05
—
367303002
—
TX
Enumeration date
04/24/2017
Last updated
04/24/2017
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