Provider Demographics
NPI:1467258467
Name:MCQUEEN, JOEL MAURICIO (DPT)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:MAURICIO
Last Name:MCQUEEN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 SINGLETON BLVD APT 3076
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75212-5383
Mailing Address - Country:US
Mailing Address - Phone:209-373-3861
Mailing Address - Fax:
Practice Address - Street 1:331 LAS COLINAS BLVD E
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5556
Practice Address - Country:US
Practice Address - Phone:972-401-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist