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Individual

JUAN DAVID ASUAJE

Active
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Individual

JUAN DAVID ASUAJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5662
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159124006
—
TX
05
—
159124013
—
TX
01
—
455494ZR1D
MEDICARE LINKED TO RAMCORP
TX
01
—
8FQ301
BCBS
TX
01
—
P01580980
RR MEDICARE LINKED TO RAMCORP
TX
Enumeration date
11/06/2006
Last updated
11/30/2018
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