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Individual
MOISES PLASENCIA
Active
Individual
MOISES PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9665
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10060995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1E2664
MEDICARE
TX
01
—
8MU705
BCBS
TX
Enumeration date
04/18/2017
Last updated
08/03/2020
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