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Individual
LAURA TIMCIUC
Active
Individual
LAURA TIMCIUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405978401
—
TX
01
—
405978402
MEDICAID-CSHCN
TX
01
—
8MC402
BCBS
TX
Enumeration date
11/13/2019
Last updated
02/20/2020
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