1811966450 NPI number — DR. JOSEPH DELPRINCIPE DO

Table of content: DR. JOSEPH DELPRINCIPE DO (NPI 1811966450)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811966450 NPI number — DR. JOSEPH DELPRINCIPE DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DELPRINCIPE
Provider First Name:
JOSEPH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811966450
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2819 BROADACRES LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DWG
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76016-4019
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-480-2279
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5500 SYCAMORE SCHOOL RD STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76123-3053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
682-707-9707
Provider Business Practice Location Address Fax Number:
682-707-9708
Provider Enumeration Date:
03/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  G7195 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00724864 . This is a "RAILROAD MCARE THRU SAEMA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 136525612 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8BT317 . This is a "BCBS THRU SAEMA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 88634Z . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 136525611 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 930124540 . This is a "RAILROAD MCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 930124540 . This is a "RAILROAD THRU AEMA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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