Provider Demographics
NPI:1215089586
Name:JOSEPH, STEVE
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 MORNING MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7806
Mailing Address - Country:US
Mailing Address - Phone:214-727-9092
Mailing Address - Fax:972-602-3341
Practice Address - Street 1:3144 MORNING MEADOW LN
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7806
Practice Address - Country:US
Practice Address - Phone:214-727-9092
Practice Address - Fax:972-602-3341
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)