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Individual
RICHARD A JAMESON
Active
Individual
RICHARD A JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181502903
—
TX
01
—
75-2616977-021
TRICARE
TX
01
—
858N25
BCBS
TX
Enumeration date
07/05/2006
Last updated
10/13/2014
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