Provider Demographics
NPI:1124135157
Name:KASS, JOSEPH S (MD, JD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:KASS
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BAYLOR COLLEGE OF MEDICINE
Mailing Address - Street 2:ONE BAYLOR PLAZA SUITE NB 302
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-6151
Mailing Address - Fax:
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-2961
Practice Address - Fax:713-873-2964
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL87552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173796701Medicaid
8J0013Medicare PIN
I30017Medicare UPIN
8D5082Medicare PIN
TX173796701Medicaid