JOE DANIEL MCAMIS JR.


Address: 3109 6th Ave Ste B, Ft Worth, TX 76110-3800
Phone: 6823127339

JOE DANIEL MCAMIS JR. (NPI# 1497898548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497898548
Entity Type Individual
Full Name JOE DANIEL MCAMIS JR.
Credential PMHNP
Practice Address 3109 6th Ave Ste B
Ft Worth
TX 76110-3800
Mailing Address 2600 W 7th St
Apt 1821
Ft Worth
TX 76107-9307
Practice Telephone 6823127339
Practice Fax Number 8172880958
Mailing Telephone 6823236034
Mailing Fax Number 8174268111
Enumeration Date 2007-02-15
Last Update Date 2018-09-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
736361 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE P00601688 01
TX AMERIGROUP 01412374 01
TX 186501601 05

Office Location

Street Address 3109 6TH AVE STE B
City FT WORTH
State TX
Zip Code 76110-3800

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326475153 Joanna Ahounou Pa Nurse Practitioner 3109 6th Ave, Suite B, Ft Worth, TX 76110-3800 2013-10-12
1952417180 Deborah Yvonne Antai-otong Nurse Practitioner 6000 Western Pl, Suite 300, Ft Worth, TX 76107-4607 2006-08-21

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City FT WORTH
Zip Code 76110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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