Dubose, Joshua Blake

Dubose, Joshua Blake is an individual health care provider with primary practice located at 4015 Interstate 45 N , Conroe TX 77304-4901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dubose, Joshua Blake can be contacted via phone (936) 756-6631.

Contact Information

Primary practice address
4015 Interstate 45 N Conroe TX 77304-4901
Phone: (936) 756-6631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04882 Texas

Profile Details

NPI number 1700997665
LBN Legal business name Dubose, Joshua Blake
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700997665 NPPES
Texas MEDICAID 188072603

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