Trussell, Joshua Kyle
Trussell, Joshua Kyle is an individual health care provider with primary practice located at 2975 E Broad St Ste 200 , Mansfield TX 76063-9186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Trussell, Joshua Kyle can be contacted via phone (682) 518-8619.Contact Information
Primary practice address
2975 E Broad St Ste 200
Mansfield TX 76063-9186
Phone: (682) 518-8619
Fax: (682) 518-8195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N2852 | Texas |
Profile Details
| NPI number | 1760684195 |
|---|---|
| LBN Legal business name | Trussell, Joshua Kyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Mar 23rd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760684195 | NPPES |
| Texas | MEDICAID | 205422302 |
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