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NPI Code Detail

MEDICARE: MR. JOSHUA ENRIQUEZ H.I.S.

MEDICARE: MR. JOSHUA ENRIQUEZ H.I.S.
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
1237700000XHearing Instrument Specialist80959TX

General Provider Information

NPI Number : 1508611765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA ENRIQUEZ H.I.S.
Provider Business Mailing Address
First Line : 9001 DAVIS ST
Second Line :
City : ROWLETT
State : TX
Zip : 75088-4525
Country : US
Telephone Number : 903-517-2403
Fax Number :
Provider Business Practice Location Address
First Line : 1000 W RANDOL MILL RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2512
Country : US
Telephone Number : 817-795-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 04/22/2024

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