| Doctor Name: | DR. JOSEPH VARGHESE PHILIP |
| NPI Number: | 1619920402 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | L8472 |
| Business Practice Address: | 3500 Gaston Ave Dallas, TX - 752462017 |
| Business Phone Number: | 2148268822 |
| Business Fax Number: | 2148269792 |
| Mailing Address: | 712 N Washington Ave, Suite 101 DALLAS |
| State: | TX |
| Postal Code: | 752461619 |
| Phone Number: | 2148268822 |
| Fax Number: | 2148269792 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | L8472 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |