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Individual
JON KIRK PLUMMER
Active
Individual
JON KIRK PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080190728
INDIVIDUAL RAILROAD MC
TX
01
—
118179
SUPERIOR
TX
05
—
130517907
—
TX
01
—
144831802
GROUP TEXAS HEALTH STEPS
TX
01
—
5473079
AETNA
TX
01
—
8B5724
INDIVIDUAL BLUE CROSS
TX
Enumeration date
07/18/2006
Last updated
07/23/2014
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