| Dominic M. Joseph Mdpa | |
|
1331 W Grand Pkwy N Suite # 320 Katy TX 77493-2710 | |
| (281) 540-9473 | |
| (281) 265-2761 |
| Full Name | Dominic M. Joseph Mdpa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1331 W Grand Pkwy N, Katy, Texas |
| Authorized Official Name and Position | Dominic M. Joseph (PRESIDENT) |
| Authorized Official Contact | 2813008711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic M. Joseph Mdpa 1606 Pristine Way Sugar Land TX 77479-6651 Ph: (281) 300-8711 | Dominic M. Joseph Mdpa 1331 W Grand Pkwy N Suite # 320 Katy TX 77493-2710 Ph: (281) 540-9473 |
| NPI Number | 1851311062 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851311062 | NPI | - | NPPES |
| 131226605 | Medicaid | TX | |
| J1278 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J1278 (Texas) | Primary |
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