Basic Information
| Provider Information | |||||||||
| NPI: | 1760685366 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOX | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4310 JAMES CASEY ST STE 3C | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787451120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122464488 | ||||||||
| FaxNumber: | 5124416388 | ||||||||
| Practice Location | |||||||||
| Address1: | 4310 JAMES CASEY ST STE 3C | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787451120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122464488 | ||||||||
| FaxNumber: | 5124416388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2007 | ||||||||
| LastUpdateDate: | 10/25/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0801X | N3646 | TX | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma | 207X00000X | N3646 | TX | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.