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Individual
DR. VIRGILIO C CARANDANG
Active
Individual
DR. VIRGILIO C CARANDANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F0915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000EE59
BLUE CROSS BLUE SHIELD
TX
01
—
0811551
AETNA
—
01
—
10017569
AMERIGROUP
—
05
—
140120008
—
TX
01
—
192108092836
HUMANA
—
01
—
751590503
FEDERAL TAX ID
—
Enumeration date
06/04/2006
Last updated
07/08/2007
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