MEDICARE: ADRIENNE JOSEPH MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1710627625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE JOSEPH MD

Provider Business Mailing Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6655 TRAVIS ST STE 980
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1343
Country	:	US
Telephone Number	:	713-500-8260
Fax Number	:

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

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/19/2023

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