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NPI Code Detail

MEDICARE: JOSEPH DANIEL TRSEK

MEDICARE: JOSEPH DANIEL TRSEK
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
1103K00000XBehavior Analyst5721TX

General Provider Information

NPI Number : 1225602337
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH DANIEL TRSEK
Provider Business Mailing Address
First Line : 8885 RIO SAN DIEGO DR STE 340
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1669
Country : US
Telephone Number : 619-795-9925
Fax Number : 877-602-5087
Provider Business Practice Location Address
First Line : 2941 BROADWAY BEND DR STE 108
Second Line :
City : PEARLAND
State : TX
Zip : 77584-2291
Country : US
Telephone Number : 281-223-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2021
Last Update Date : 06/06/2023

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Directions to “ JOSEPH DANIEL TRSEK ” Practice Location

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