Organization Name: | JOSEPH L ADAMS DO PC |
NPI Number: | 1740345099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH L ADAMS (OWNER) |
Mailing Address: | 413 N Hwy 70 Kingston |
State: | OK US |
Postal Code: | 734390790 |
Phone Number: | 5805642143 |
Fax Number: | 5805643355 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |