Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | T60-2019 | TX |
NPI | 1003468398 |
---|---|
Provider Name | Christine Joshua |
First Address | Greenville, TX 75401-7852 |
Second Address | Greenville, TX 75401-7852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2019 |
Last Update Date | 16/07/2019 |