Maddry, Joseph

Maddry, Joseph is an individual health care provider with primary practice located at 3551 Roger Brooke Dr Quality Services/7Th Floor Attn: Mche-Zqq, Jbsa Ft Sam Houston TX 78234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Maddry, Joseph can be contacted via phone (210) 916-0808.

Contact Information

Primary practice address
3551 Roger Brooke Dr Quality Services/7Th Floor Attn: Mche-Zqq Jbsa Ft Sam Houston TX 78234
Phone: (210) 916-0808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 50473 Colorado
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X P7305 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P7305 Texas

Profile Details

NPI number 1578722039
LBN Legal business name Maddry, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Sep 17th, 2019 - about 5 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 1578722039 NPPES
Colorado MEDICAID 95375511
Colorado MEDICAID 326992014
Colorado Other 022397
Colorado Other 326992015

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