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Joseph Bukassa
NPI 1093172413 · on the registry since 2016
Practice
- Address
- 207 W College St
Lewisville, TX 75057 - Phone
- (972) 803-7272
- Fax
- (972) 221-9305
- Organisation at this address
- Korbanot Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas