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Individual
DR. JAMES TERRY GAGE
Active
Individual
DR. JAMES TERRY GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K77M
BLUECROSS BLUESHIELD
TX
05
—
111493606
—
TX
Enumeration date
08/30/2006
Last updated
01/08/2013
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