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Individual
ARTHUR TIJERINA
Active
Individual
ARTHUR TIJERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D6196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004412062
AETNA HEALTHCARE
TX
05
—
105493401
—
TX
01
—
340008791
RAILROAD MEDICARE
TX
01
—
879001
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
06/30/2006
Last updated
02/02/2010
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