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Individual
DR. ANTHONY MASARYK
Active
Individual
DR. ANTHONY MASARYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
L1128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105338101
—
TX
05
—
105338102
—
TX
01
—
105338103
CSHCN2
TX
01
—
105338104
CSHCN1
TX
01
—
300121666
RRMCARE
—
01
—
300127509
RRMCARE2
—
Enumeration date
06/10/2005
Last updated
12/06/2020
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