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Individual
RAY LAURIN NANNIS
Active
Individual
RAY LAURIN NANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172669003756
HUMANA PROVIDER #
TX
01
—
605646
BCBS PROVIDER #
TX
01
—
752705112
TAX ID #
TX
01
—
752705112AA
FISERV HEALTH PROVIDER #
TX
Enumeration date
01/15/2007
Last updated
07/14/2020
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