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Individual
DR. RONALD WAYNE KILLAM
Active
Individual
DR. RONALD WAYNE KILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H5715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00511B
BLUECROSS BLUESHIELD
TX
05
—
10014941
—
TX
05
—
111525501
—
TX
05
—
111525504
—
TX
05
—
111525505
—
TX
01
—
1518219104
GROUP NPI
TX
01
—
460986471
TAX IDENTIFICATION
TX
01
—
810621291
TAX IDENTIFICATION
TX
01
—
8K3280
BLUE CROSS SHIELD
TX
01
—
8Z1542
BLUECROSS BLUESHIELD
TX
Enumeration date
05/18/2006
Last updated
04/21/2025
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