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NPI Code Detail

MEDICARE: JOSHUA ROSZAK DMS, PA-C

MEDICARE: JOSHUA ROSZAK DMS, PA-C
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
1363A00000XPhysician AssistantPA09525TX

General Provider Information

NPI Number : 1457757890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA ROSZAK DMS, PA-C
Provider Business Mailing Address
First Line : 12302 BAYMEADOW CT
Second Line :
City : PEARLAND
State : TX
Zip : 77584-4304
Country : US
Telephone Number : 281-782-5370
Fax Number :
Provider Business Practice Location Address
First Line : 305 N MCKINNEY ST
Second Line :
City : SWEENY
State : TX
Zip : 77480-2801
Country : US
Telephone Number : 979-548-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2014
Last Update Date : 11/29/2025

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Directions to “ JOSHUA ROSZAK DMS, PA-C” Practice Location

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