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Individual

DR. ALFONSO E. PINO III

Active
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Individual

DR. ALFONSO E. PINO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4441
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100346901
TX
01
50051739
RAILROAD MEDICARE
TX
01
5125471
AETNA
TX
01
82130F
BLUE CROSS BLUE SHIELD TX
TX
01
97384
AMERIGROUP
TX
Enumeration date
05/16/2006
Last updated
07/10/2009
Update your record

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