MEDICARE: STEPHANIE 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	83-3555232	OTHER	TX	IRS

General Provider Information

NPI Number	:	1285190447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE JOSEPH

Provider Business Mailing Address
First Line	:	14407 BRUNSWICK POINT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-3344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14407 BRUNSWICK POINT LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-3344
Country	:	US
Telephone Number	:	832-607-2513
Fax Number	:

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

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	02/13/2019

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Directions to “ STEPHANIE JOSEPH ” Practice Location

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