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Joshua Blake Dubose, PA-C
Medical Physician Assistant in Conroe, Texas
NPI 1700997665

Joshua Blake Dubose is a Medical Physician Assistant based in Conroe, TX and is specialized in Medical. Joshua Blake Dubose practices in Conroe, TX and has the professional credentials of PA-C. The NPI Number for Joshua Blake Dubose is 1700997665 and holds a License No. PA04882 (Texas).

The current practice location address for Joshua Blake Dubose is 4015 Interstate 45 N, Conroe, TX and can be reached out via phone at 936-756-6631.

Location: 4015 Interstate 45 N, Conroe, TX, 77304-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700997665
Provider Name
Joshua Blake Dubose
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4015 Interstate 45 N, Conroe, TX, 77304-4901
Phone Number
936-756-6631
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
188072603 05 TX
institution
Provider Business Practice Location Address Details
Address
4015 Interstate 45 N
City
Conroe
State
Texas
Zip
77304-4901
Phone Number
936-756-6631
Fax Number
person
Provider Business Mailing Address Details
Address
4015 Interstate 45 N
City
Conroe
State
Texas
Zip
77304-4901
Phone Number
936-756-6631
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA04882 (Texas)
Definition
Definition to come...
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