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E JOSEPH UPTON MD PA NPI 1306027016


NPI Information

NPI: 1306027016
Provider Name: E JOSEPH UPTON, MD PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D1039213

Address:
107 BRYAN ST
DAYTON, TX
ZIP 77535
Phone: (936) 258-4600
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E JOSEPH UPTON, MD PA is a pediatrics in Dayton, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. E JOSEPH UPTON, MD PA NPI is 1306027016. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

107 BRYAN ST
DAYTON, TX
ZIP 77535-661
Phone: (936) 258-4600
Fax: (936) 258-4603

The provider's authorized official is E Joseph Upton .
The authorized official title is Owner and has the following contact phone number (936) 258-4600.

The CLIA number assigned to this NPI record is 45D1039213 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineH2859TEXASNo
2208000000XPediatricsH2859TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E78720MEDICARE UPINTEXAS
200668YMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.