MEDICARE: ROY M JOSEPH, MD, P.A.

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	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0029CH	OTHER	TX	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407891989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROY M JOSEPH, MD, P.A.

Provider Business Mailing Address
First Line	:	3324 COLORADO BLVD
Second Line	:	SUITE 101
City	:	DENTON
State	:	TX
Zip	:	76210-6890
Country	:	US
Telephone Number	:	940-243-7200
Fax Number	:	940-565-1577

Provider Business Practice Location Address
First Line	:	3324 COLORADO BLVD
Second Line	:	SUITE 101
City	:	DENTON
State	:	TX
Zip	:	76210-6890
Country	:	US
Telephone Number	:	940-243-7200
Fax Number	:	940-565-1577

Authorized Official
Title or Position	:	OWNER
Name	:	ROY M JOSEPH
Credential	:	MD
Telephone Number	:	940-243-7200

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/09/2012

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