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Individual
UMA R ELETE
Active
Individual
UMA R ELETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M5923
BCVBS
TX
Enumeration date
06/30/2006
Last updated
11/28/2007
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