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Individual

DR. EUGENE K GICHERU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216
(214) 742-8387
Mailing address
700 CENTRAL EXPY S STE 400, ALLEN, TX 75013-8113
(866) 225-0350

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8245
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008PV
BLUE CROSS BLUE SHIELD
TX
05
175552202
TX
01
8W0732
BCBS
TX
Enumeration date
07/12/2006
Last updated
08/20/2018
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