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Individual
MRS. TARIN DOUBT HENNEGAN
Active
Individual
MRS. TARIN DOUBT HENNEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00571821
—
MS
05
—
2400371
—
LA
05
—
380310801
—
TX
05
—
380310802
—
TX
01
—
8JD383
BCBS
TX
Enumeration date
07/28/2015
Last updated
05/12/2023
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