Provider Demographics
NPI:1194313866
Name:ADAME, JOE ANGEL JR (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:ANGEL
Last Name:ADAME
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-7710
Mailing Address - Country:US
Mailing Address - Phone:956-279-7024
Mailing Address - Fax:
Practice Address - Street 1:5260 BRAND ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6999
Practice Address - Country:US
Practice Address - Phone:888-707-8277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1334423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist