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Individual
DR. THARREN CHARLES DUFFY
Active
Individual
DR. THARREN CHARLES DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101017607
MI
207P00000X
Emergency Medicine Physician
Primary
P1292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296518802
—
TX
05
—
296518803
—
TX
05
—
296518805
—
TX
05
—
296518806
—
TX
01
—
750818167015
TRICARE
TX
01
—
750818167022
TRICARE
TX
01
—
750818167044
TRICARE
TX
01
—
750818167048
TRICARE
TX
01
—
751976930005
TRICARE
TX
01
—
8DD749
BCBS
TX
01
—
8DD752
BCBS
TX
01
—
8X8165
BCBS
TX
01
—
P01231382
RAILROAD MCARE
TX
Enumeration date
06/18/2008
Last updated
12/10/2013
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