Search › Texas › 152W00000X
Joe Broadway, OD
NPI 1205675790 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2355 N State Highway 360 Apt 625
Grand Prairie, TX 75050 - Phone
- (972) 822-3148
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-23
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