Provider Demographics
NPI:1932261575
Name:JOSEPH, CLAUDINE (NP)
Entity type:Individual
Prefix:MRS
First Name:CLAUDINE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16125 CAIRNWAY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3556
Mailing Address - Country:US
Mailing Address - Phone:281-858-6611
Mailing Address - Fax:281-858-6605
Practice Address - Street 1:16125 CAIRNWAY DR STE 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3556
Practice Address - Country:US
Practice Address - Phone:281-858-6611
Practice Address - Fax:281-858-6605
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX552857363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165729803Medicaid
TX165729803Medicaid
TX8F1258Medicare ID - Type UnspecifiedMEDICARE NUMBER