Healthcare Provider Details

I. General information

NPI: 1538080916
Provider Name (Legal Business Name): JOSHUA MICHAEL MCDERMOTT LICENSED PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3189 SE INNER LOOP SUITE A
GEORGETOWN TX
78626-6391
US

IV. Provider business mailing address

3189 SE INNER LOOP SUITE A
GEORGETOWN TX
78626-6391
US

V. Phone/Fax

Practice location:
  • Phone: 512-943-1264
  • Fax: 512-943-1269
Mailing address:
  • Phone: 512-943-1264
  • Fax: 512-943-1269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number713748
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: