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Individual
PAUL DRIVER
Active
Individual
PAUL DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J1976
TX
207R00000X
Internal Medicine Physician
Primary
J1976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098LY
BCBS
TX
05
—
134270111
—
TX
05
—
134270117
—
TX
01
—
75-2771569-005
TRICARE
TX
01
—
8DT338
BCBS BLUE
TX
01
—
P01246204
RAIL ROAD
TX
Enumeration date
06/08/2006
Last updated
10/13/2014
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