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Individual

CESAR TERMULO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3320 LIVE OAK ST, EAST DALLAS HEALTH CENTER, DALLAS, TX 75204-6109
(214) 266-1000
(214) 266-1128
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7219
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100753601
TX
05
100753602
TX
05
100753604
TX
05
100753605
TX
05
100753606
TX
05
100753607
TX
05
100753608
TX
05
100753609
TX
05
100753611
TX
05
100753613
TX
05
100753615
TX
05
100753616
TX
05
100753617
TX
01
80414G
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/06/2005
Last updated
11/10/2012
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