MEDICARE: MR. JOSEPH N DAJOSE L.P.T.

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	174400000X	Specialist	PT1054807	TX

General Provider Information

NPI Number	:	1588615397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH N DAJOSE L.P.T.

Provider Business Mailing Address
First Line	:	8153 LONG POINT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-2032
Country	:	US
Telephone Number	:	713-722-8799
Fax Number	:	713-722-8830

Provider Business Practice Location Address
First Line	:	8153 LONG POINT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-2032
Country	:	US
Telephone Number	:	713-722-8799
Fax Number	:	713-722-8830

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	06/08/2010

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