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Individual
WILLIAM RUSSELL GILES JR.
Active
Individual
WILLIAM RUSSELL GILES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M0730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174192802
—
TX
01
—
8S5838
BLUE CROSS
TX
01
—
P00339673
RAILROAD MEDICARE
TX
Enumeration date
07/17/2006
Last updated
01/08/2009
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