MEDICARE: MR. JOSEPH LEE BRETT WEST MD

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	207R00000X	Internal Medicine Physician	R71544	AZ
2	208000000X	Pediatrics Physician	R71544	AZ
3	207K00000X	Allergy & Immunology Physician	Q6720	TX

General Provider Information

NPI Number	:	1396972535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH LEE BRETT WEST MD

Provider Business Mailing Address
First Line	:	10100 N CENTRAL EXPY STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4152
Country	:	US
Telephone Number	:	214-373-7374
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 N CENTRAL EXPY STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4152
Country	:	US
Telephone Number	:	214-373-7374
Fax Number	:

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

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	02/12/2025

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