Pistone, Joseph

Pistone, Joseph is an sole proprietor health care provider with primary practice located at 5414 S Broadway Ave , Tyler TX 75703-1335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pistone, Joseph can be contacted via phone (903) 581-1601.

Contact Information

Primary practice address
5414 S Broadway Ave Tyler TX 75703-1335
Phone: (903) 581-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L2554 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.024374 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L2554 Texas

Profile Details

NPI number 1831189836
LBN Legal business name Pistone, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Jun 15th, 2016 - about 10 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 1831189836 NPPES
Texas Other 75-0818167-022 TRICARE
Texas Other P01608452 TRICARE
Texas Other 8FR384 TRICARE
Texas Other 752616977001 TRICARE
Texas Other 752616977002 TRICARE
Texas Other 752616977028 TRICARE
Texas Other P01609937 TRICARE
Texas Other 8FR383 TRICARE
Texas MEDICAID 149382701 TRICARE

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