IndividualActive
De'Andreia Joseph, CNIM
NPI 1215520093 · Clinical Neurophysiology Physician · San Antonio, TX
Provider details
- NPI number
- 1215520093
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- No
- License
- 4246 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1141 N Loop 1604 E # 426
San Antonio, TX 78232-1339
Phone: (888) 851-3677
Approximate (ZIP-level) locationGet directions
Mailing address
1141 N Loop 1604 E # 426
San Antonio, TX 78232-1339
Registry dates
- Enumerated
- 2021-02-12
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.