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NPI Code Detail

MEDICARE: JOSHUA M CHOUTEAU D.O.

MEDICARE: JOSHUA M CHOUTEAU D.O.
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
1208D00000XGeneral Practice PhysicianR0375TX

General Provider Information

NPI Number : 1174615066
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA M CHOUTEAU D.O.
Provider Business Mailing Address
First Line : 5050 QUORUM DR STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75254-1410
Country : US
Telephone Number : 800-409-1920
Fax Number : 800-878-3830
Provider Business Practice Location Address
First Line : 5050 QUORUM DR STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75254-1410
Country : US
Telephone Number : 800-409-1920
Fax Number : 800-878-3830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 03/29/2022

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Directions to “ JOSHUA M CHOUTEAU D.O.” Practice Location

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