| E Joseph Upton, MD PA | |
|
107 Bryan St Dayton TX 77535-2661 | |
| (936) 258-4600 | |
| (936) 258-4603 |
| Full Name | E Joseph Upton, MD PA |
|---|---|
| Speciality | Pediatrics |
| Location | 107 Bryan St, Dayton, Texas |
| Authorized Official Name and Position | E Joseph Upton (OWNER) |
| Authorized Official Contact | 9362584600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Joseph Upton, MD PA Po Box 65 Dayton TX 77535-0002 Ph: (936) 258-4600 | E Joseph Upton, MD PA 107 Bryan St Dayton TX 77535-2661 Ph: (936) 258-4600 |
| NPI Number | 1306027016 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306027016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H2859 (Texas) | Secondary |
| 208000000X | Pediatrics | H2859 (Texas) | Primary |
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