Decarlo, Joseph Leonard

Decarlo, Joseph Leonard is an individual health care provider with primary practice located at 700 Olympic Plaza Cir Ste 700, Tyler TX 75701-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Decarlo, Joseph Leonard can be contacted via phone (903) 262-3900.

Contact Information

Primary practice address
700 Olympic Plaza Cir Ste 700 Tyler TX 75701-1951
Fax: (903) 262-3993
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X J0472 Texas

Profile Details

NPI number 1013954809
LBN Legal business name Decarlo, Joseph Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 14th, 2013 - about 11 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 1013954809 NPPES
Texas MEDICAID 129781401

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