Provider Demographics
NPI:1851136907
Name:RICHARDSON, JOSEPH ANTHONY JR (MSN, APRN, AGACNP-BC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:RICHARDSON
Suffix:JR
Gender:M
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
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Mailing Address - Street 1:2801 FM 2004 RD APT 414
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-9150
Mailing Address - Country:US
Mailing Address - Phone:409-256-4457
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD STE 6.146
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-5302
Practice Address - Country:US
Practice Address - Phone:409-772-1285
Practice Address - Fax:409-772-5611
Is Sole Proprietor?:No
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1157555363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care