MEDICARE: DR. ANUSHA JOSEPH

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
1	1223G0001X	General Practice Dentistry	36231	TX

General Provider Information

NPI Number	:	1053939637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANUSHA JOSEPH

Provider Business Mailing Address
First Line	:	2875 E LEAGUE CITY PKWY STE 800
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-7160
Country	:	US
Telephone Number	:	832-913-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	2875 E LEAGUE CITY PKWY
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-7158
Country	:	US
Telephone Number	:	832-913-5805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2020
Last Update Date	:	01/12/2026

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Directions to “ DR. ANUSHA JOSEPH ” Practice Location

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