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Individual

JEROME DOUGLAS KIZZART

Active
Find providers by NPI
Individual

JEROME DOUGLAS KIZZART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H3823
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
H3823
TX
207R00000X
Internal Medicine Physician
Primary
H3823
TX
208M00000X
Hospitalist Physician
H3823
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8V1922
BCBS
TX
01
—
P00382498
MEDICARE RAILROAD
TX
Enumeration date
06/04/2006
Last updated
11/29/2014
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