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Individual
DON A CHURCH
Active
Individual
DON A CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39590
TN
207P00000X
Emergency Medicine Physician
Primary
M8604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191299001
—
TX
05
—
191299002
—
TX
05
—
3331286
—
TN
01
—
8AA315
BCBS
TX
01
—
8AB543
BCBS THRU HEB
TX
01
—
P00650240
RAILROAD
TX
01
—
P00660092
RAILROAD MCARE THRU HEB
TX
Enumeration date
06/08/2006
Last updated
10/13/2025
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