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Individual
JOHN ALPHONSE BOUSQUET III
Active
Individual
JOHN ALPHONSE BOUSQUET III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G8017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144669-04
—
TX
05
—
114466905
—
TX
01
—
84Y716
BCBS
TN
01
—
8BR079
BCBS
TX
Enumeration date
06/22/2006
Last updated
05/29/2009
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