Provider Demographics
NPI:1205242914
Name:KONOZA, JOSHUA SCOTT (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:SCOTT
Last Name:KONOZA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:10506 EUPHRATES RIVER VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:FORT DRUM
Mailing Address - State:NY
Mailing Address - Zip Code:13602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:BEN TAUB HOSPITAL - EMERGENCY DEPARTMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-3565
Practice Address - Fax:713-873-6604
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-02
Last Update Date:2021-12-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant