Mauk, Joyce E

Mauk, Joyce E is an individual health care provider with primary practice located at 1300 W Lancaster Ave , Fort Worth TX 76102-3410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Mauk, Joyce E can be contacted via phone (817) 336-8611.

Contact Information

Primary practice address
1300 W Lancaster Ave Fort Worth TX 76102-3410
Fax: (682) 336-2823
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X K6134 Texas

Profile Details

NPI number 1093808180
LBN Legal business name Mauk, Joyce E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 5th, 2010 - about 14 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 1093808180 NPPES
Texas MEDICAID 140442813
Texas MEDICAID 060976001
Texas Other 118781100
Texas Other 1548230923
Texas Other 10024054
Texas Other 4416581
Texas Other 0026CV
Texas Other 1840371
Texas Other 43655
Texas Other 492577
Texas Other 4338797
Texas Other 124160
Texas Other 82861S

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