Joshua Blake Dubose is a Medical in Conroe, Texas. Joshua Blake Dubose practices all healthcare services and medical treatments related to Medical. The NPI Number for Joshua Blake Dubose is 1700997665. The last update date is 2010-03-09.
Joshua Blake Dubose's current location address is 4015 Interstate 45 N, Conroe, Texas. You can contact this provider via phone number 9367566631. The mailing address for Joshua Blake Dubose is 4015 Interstate 45 N, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joshua Blake Dubose |
|---|---|
| Address | 4015 Interstate 45 N, Conroe, Texas |
| Phone Number | 9367566631 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700997665 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2010-03-09 |
Provider Mailing Address Detail
| Address | 4015 Interstate 45 N |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773044901 |
| Phone Number | 9367566631 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA04882 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188072603 | TX | -- |
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What is the unique identification code assigned to Joshua Blake Dubose by the Centers for Medicare & Medicaid Services?
The Joshua Blake Dubose has been issued the NPI (National Provider Identifier) 1700997665. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Joshua Blake Dubose's facilities are situated?
The facilities of Joshua Blake Dubose are physically located at the following address: 4015 Interstate 45 N, Conroe, TX, 773044901.
What is Joshua Blake Dubose's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joshua Blake Dubose is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700997665 to Joshua Blake Dubose?
The Centers for Medicare & Medicaid Services assigned the 1700997665 to Joshua Blake Dubose on 2006-08-31.
As of what date were the details related to Joshua Blake Dubose most recently updated or revised?
The information pertaining to Joshua Blake Dubose, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-09.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY