Provider Demographics
NPI:1215500319
Name:YOW, JOE
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:YOW
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 1:104 E OVILLA RD UNIT 1119
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-9274
Mailing Address - Country:US
Mailing Address - Phone:469-216-7502
Mailing Address - Fax:
Practice Address - Street 1:1023 W CLARENDON DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-7004
Practice Address - Country:US
Practice Address - Phone:469-552-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor