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NPI Code Detail

MEDICARE: DR. JOSEPH EDWARD PRINCE M.D.

MEDICARE: DR. JOSEPH EDWARD PRINCE M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianJ9601TX
2207RP1001XPulmonary Disease PhysicianJ9601TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28R3391OTHERTXBLUE CROSS ID

General Provider Information

NPI Number : 1477518314
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH EDWARD PRINCE M.D.
Provider Business Mailing Address
First Line : 6409 MEMORIAL DR
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-4057
Country : US
Telephone Number : 409-935-2995
Fax Number : 409-935-3433
Provider Business Practice Location Address
First Line : 6409 MEMORIAL DR
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-4057
Country : US
Telephone Number : 409-935-2995
Fax Number : 409-935-3433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 08/20/2021

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