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Individual
JOHN THE BAPTIST HOUSTON
Active
Individual
JOHN THE BAPTIST HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036-100082
IL
2088P0231X
Pediatric Urology Physician
Primary
036100082
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634125
BCBS PROVIDER ID
IL
05
—
036100082
—
IL
05
—
100013160B
—
IN
Enumeration date
09/20/2005
Last updated
04/26/2021
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