Healthcare Provider Details

I. General information

NPI: 1336645704
Provider Name (Legal Business Name): JOSHUA WILLIAM ROLLINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 08/06/2025
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 N DOWLEN RD
BEAUMONT TX
77706-7690
US

IV. Provider business mailing address

3460 N DOWLEN RD
BEAUMONT TX
77706-7690
US

V. Phone/Fax

Practice location:
  • Phone: 409-838-0346
  • Fax: 409-839-3720
Mailing address:
  • Phone: 409-838-0346
  • Fax: 409-839-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberU6565
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: