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Individual
JOHN KEENE WATERS
Active
Individual
JOHN KEENE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Q8182
TX
Other
Enumeration date
05/10/2010
Last updated
09/25/2018
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