MEDICARE: JOE DANIEL MCAMIS JR. PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP115602	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00601688	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	01412374	OTHER	TX	AMERIGROUP

General Provider Information

NPI Number	:	1497898548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOE DANIEL MCAMIS JR. PMHNP

Provider Business Mailing Address
First Line	:	1028 TWIN CREEKS DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76088-4011
Country	:	US
Telephone Number	:	682-323-6034
Fax Number	:	817-288-0958

Provider Business Practice Location Address
First Line	:	3109 6TH AVE STE B
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76110-3800
Country	:	US
Telephone Number	:	682-312-7339
Fax Number	:	817-288-0958

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/12/2024

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