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Individual
JESUS DAVID PATERNINA
Active
Individual
JESUS DAVID PATERNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P2334
TX
207Q00000X
Family Medicine Physician
Primary
P2334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992939193
TRICARE SOUTH
AL
05
—
297754801
—
AL
01
—
8DG076
BCBS
AL
Enumeration date
05/04/2009
Last updated
03/13/2020
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