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General NPI Number Information
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NPI Number | 1386937605
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Entity Type | Individual
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Provider Name | JOSEPH V JOSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 3226 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2508
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Country | US
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Telephone | 361-888-6684
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Fax | 361-888-6686
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Provider Business Mailing Address
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Address Line | 3226 REID DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2519
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Country | US
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Telephone | 361-853-4503
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Fax | 361-853-4454
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34.009484
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License Number State | OH
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