MEDICARE: DR. JOSEPH MICHAEL O'DWYER M.D.

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	207R00000X	Internal Medicine Physician	H8297	TX

General Provider Information

NPI Number	:	1992815963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MICHAEL O'DWYER M.D.

Provider Business Mailing Address
First Line	:	2260 W HOLCOMBE BLVD
Second Line	:	SUITE 447
City	:	HOUSTON
State	:	TX
Zip	:	77030-2008
Country	:	US
Telephone Number	:	713-882-1884
Fax Number	:	713-521-0680

Provider Business Practice Location Address
First Line	:	2260 W HOLCOMBE BLVD
Second Line	:	SUITE 447
City	:	HOUSTON
State	:	TX
Zip	:	77030-2008
Country	:	US
Telephone Number	:	713-882-1884
Fax Number	:	713-521-0680

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/19/2008

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