Mansen, Joseph
Mansen, Joseph is an individual health care provider with primary practice located at 3024 Highway 121 , Bedford TX 76021-4037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mansen, Joseph can be contacted via phone (817) 494-5000.Contact Information
Primary practice address
3024 Highway 121
Bedford TX 76021-4037
Phone: (817) 494-5000
Fax: (817) 494-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K7051 | Texas |
Profile Details
| NPI number | 1033137740 |
|---|---|
| LBN Legal business name | Mansen, Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 17th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033137740 | NPPES |
| Texas | MEDICAID | 042834401 | |
| Texas | MEDICAID | 042834402 |
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