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Individual
DR. TECHECIA TAMARA IDOWU
Active
Individual
DR. TECHECIA TAMARA IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
61327
CT
207L00000X
Anesthesiology Physician
Primary
P4874
TX
207LP3000X
Pediatric Anesthesiology Physician
61327
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342313904
—
TX
01
—
342313905
CSHCN MEDICAID
TX
01
—
8LL388
BCBS
TX
Enumeration date
07/19/2010
Last updated
09/04/2019
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