Provider Demographics
NPI:1992494165
Name:JOSEPH, EMANUEL JR (RN)
Entity type:Individual
Prefix:MR
First Name:EMANUEL
Middle Name:
Last Name:JOSEPH
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 W BRACEBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2538
Mailing Address - Country:US
Mailing Address - Phone:424-406-7665
Mailing Address - Fax:
Practice Address - Street 1:47 W BRACEBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77382-2538
Practice Address - Country:US
Practice Address - Phone:424-406-7665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95333146163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse