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Individual
DR. RONALD LEWIS PROCTOR
Active
Individual
DR. RONALD LEWIS PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742084
UNITED CONCORDIA
—
01
—
CM76
BCBS
TX
Enumeration date
06/28/2005
Last updated
07/13/2026
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