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Individual
JOSE LUIS MAYMI
Active
Individual
JOSE LUIS MAYMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35617
IA
208800000X
Urology Physician
Primary
M4331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438323
—
IA
05
—
183260203
—
TX
05
—
183260204
—
TX
01
—
35556
WELLMARK BCBS
IA
01
—
M4331
MEDICAL LICENSE
TX
Enumeration date
08/12/2005
Last updated
08/03/2015
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