Badlissi, Joseph N

Badlissi, Joseph N is an individual health care provider with primary practice located at 2400 Highway 365 Ste 112 , Nederland TX 77627-6268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Badlissi, Joseph N can be contacted via phone (409) 724-7900.

Contact Information

Primary practice address
2400 Highway 365 Ste 112 Nederland TX 77627-6268
Fax: (409) 724-7910
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X E7808 Texas

Profile Details

NPI number 1407946130
LBN Legal business name Badlissi, Joseph N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Apr 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407946130 NPPES
Texas MEDICAID 127875603
Texas Other 00BJ59
Texas Other 113928133A

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