MEDICARE: RHORDA JOSEPH D.D.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
1	1223G0001X	General Practice Dentistry	32841	TX

General Provider Information

NPI Number	:	1629437074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHORDA JOSEPH D.D.S

Provider Business Mailing Address
First Line	:	3030 LBJ FREEWAY
Second Line	:	SUITE 1400
City	:	DALLAS
State	:	TX
Zip	:	75234
Country	:	US
Telephone Number	:	942-663-5359
Fax Number	:

Provider Business Practice Location Address
First Line	:	10527 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-1805
Country	:	US
Telephone Number	:	972-663-5384
Fax Number	:

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

Provider Enumeration Date	:	02/14/2016
Last Update Date	:	07/21/2022

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