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NPI Code Detail

MEDICARE: JOSEPH ANTHONY CERRATO III NP

MEDICARE: JOSEPH ANTHONY CERRATO III NP
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
1363L00000XNurse PractitionerAP133603TX

General Provider Information

NPI Number : 1942732557
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ANTHONY CERRATO III NP
Provider Business Mailing Address
First Line : 4401 BOOTH CALLOWAY RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7371
Country : US
Telephone Number : 817-255-1000
Fax Number :
Provider Business Practice Location Address
First Line : 4401 BOOTH CALLOWAY RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7371
Country : US
Telephone Number : 817-255-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2017
Last Update Date : 03/02/2026

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