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NPI Code Detail

MEDICARE: DR. JOSHUA K FINE M.D.

MEDICARE: DR. JOSHUA K FINE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianH6218TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00300421OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447245683
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA K FINE M.D.
Provider Business Mailing Address
First Line : 3600 GASTON AVE
Second Line : SUITE 1205
City : DALLAS
State : TX
Zip : 75246-1800
Country : US
Telephone Number : 214-826-6235
Fax Number : 214-828-4633
Provider Business Practice Location Address
First Line : 3417 GASTON AVE
Second Line : SUITE 830
City : DALLAS
State : TX
Zip : 75246-0830
Country : US
Telephone Number : 214-826-6235
Fax Number : 214-828-4633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 02/06/2017

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Directions to “ DR. JOSHUA K FINE M.D.” Practice Location

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