Provider Demographics
NPI:1316633365
Name:CONSTIEN, JOSEPH VICTOR (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:VICTOR
Last Name:CONSTIEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS
Mailing Address - Street 2:GME OFFICE 1501 RED RIVER, 2ND FLOOR
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78712
Mailing Address - Country:US
Mailing Address - Phone:512-495-5555
Mailing Address - Fax:
Practice Address - Street 1:DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS
Practice Address - Street 2:GME OFFICE 1501 RED RIVER, 2ND FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712
Practice Address - Country:US
Practice Address - Phone:512-495-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10083798207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine