NPI 1538810668

Taj Joseph

Practitioner Driver Grand Prairie, TX

Practice location

Address: 2731 Ponce de Leon, Grand Prairie, TX 75054-5510
Phone: (318) 617-4577

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 36267179 (TX)

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Registry record

NPI: 1538810668
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2022
Record last updated: 11 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.