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Individual
THADDEUS ASHMORE
Active
Individual
THADDEUS ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H6014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123354610
—
TX
01
—
8EH320
BCBS
TX
01
—
P01338224
RAILROAD
TX
Enumeration date
05/31/2005
Last updated
06/21/2021
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