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Individual
RUSSELL D SUBIA
Active
Individual
RUSSELL D SUBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6260 TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024FC
BLUE CROSS BLUE SHIELD
TX
01
—
134421
FIRSTCARE
TX
05
—
154996601
—
TX
01
—
489485001
PALMETTO GBA REGION C
TX
01
—
81716Q
BCBS
TX
01
—
P00027861
RAILROAD MEDICARE
TX
Enumeration date
09/21/2006
Last updated
01/29/2014
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