Individual
DR. JOSEPH NICHOLAS SRESHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BLOSSOM ST, SUITE C, WEBSTER, TX 77598-4228
(281) 338-1668
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
BP1-0029117
TX
208800000X
Urology Physician
Primary
P5733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327010001
—
TX
05
—
327010002
—
TX
01
—
4641183995
MYUTMB 4641183995
—
01
—
P01271123
RAILROAD MEDICARE
TX
Enumeration date
08/05/2007
Last updated
04/30/2015
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