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Individual
MANUEL J MERCADO
Active
Individual
MANUEL J MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L0420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087ET
BCBS
TX
05
—
030866002
—
TX
01
—
P00191876
RAILROAD MEDICARE
TX
Enumeration date
02/03/2006
Last updated
01/27/2012
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