Provider Demographics
NPI:1942636204
Name:MICHEL, JOSEPH MICHEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHEL
Last Name:MICHEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 MEADOW CREEK DR
Mailing Address - Street 2:#233
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-7296
Mailing Address - Country:US
Mailing Address - Phone:646-826-9264
Mailing Address - Fax:
Practice Address - Street 1:1119 MEADOW CREEK DR
Practice Address - Street 2:#233
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-7296
Practice Address - Country:US
Practice Address - Phone:646-826-9264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5391310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist