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Individual
TIEME ROCHA SOARES PATERSON
Active
Individual
TIEME ROCHA SOARES PATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13058
TX
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410557901
—
TX
01
—
410557902
MEDICAID-CSHCN
TX
01
—
8MR725
BCBS
TX
01
—
P02557006
RAILROAD MEDICARE
TX
Enumeration date
06/22/2019
Last updated
05/19/2026
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