Individual
DR. JARED TATE READING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213416503
—
TX
01
—
8CX661
BCBS
TX
01
—
P00983992
TX RAILROAD MEDICARE
TX
Enumeration date
03/26/2007
Last updated
02/22/2012
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