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Individual
DR. JOANNA K IRA
Active
Individual
DR. JOANNA K IRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6480
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
M6480
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
M6480
TX
208M00000X
Hospitalist Physician
M6480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M9182
BLUE CROSS BLU SHIELD
TX
01
—
TXB158820
MEDICARE GROUP PTAN
TX
01
—
TXB158821
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
06/11/2007
Last updated
07/18/2016
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