Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffy T. Jose

Individual provider Emergency Medicine Physician · NPI 1255078259

Jeffy T. Jose is an Emergency Medicine in Fort Worth, Texas. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2023, 3 years ago. Licensed in Texas.

Years since qualifying
3
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence W4503 (TX)

Record details

NPI number1255078259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address1500 S Main St, Fort Worth, TX 76104-4917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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