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Contact Information

JOSEPH MADDRY, MD
3551 ROGER BROOKE DR
QUALITY SERVICES/7TH FLOOR ATTN: MCHE-ZQQ
FORT SAM HOUSTON, TX78234
 Phone: 210-916-0808
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH MADDRY · (Male)

NPI # 1578722039
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2008
Last updated 09/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 50473
  • TX License # P7305
  • CO Medicaid 95375511
  • TX Medicaid 326992014
  • CO Other 022397 KAISER COMMERCIAL NUMBER
  • TX Other 326992015 CSHCN
Hospital affiliation(s)
  • UNIVERSITY HEALTH SYSTEM - (Acute Care)
    4502 MEDICAL DR
    SAN ANTONIO, TX 78229
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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