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Individual
TONY GENE HEDGES
Active
Individual
TONY GENE HEDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J2066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N67T
BCBS CLINIC B GROUP
TX
01
—
080060101
MEDICARE RAILROAD
TX
01
—
084272601
LCMC GROUP MCAID
TX
01
—
10009196
AMERIGROUP
TX
01
—
114852124
LHC FIRSTCARE
TX
01
—
114852125
FIRSTCARE B IND
TX
05
—
136411902
—
TX
01
—
162693901
LHC MEDICAID
TX
01
—
85W781
BCBS IND
TX
01
—
8J9142
BCBS
TX
01
—
CG5760
MEDICARE RAILROAD GROUP
TX
Enumeration date
01/03/2006
Last updated
01/11/2022
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