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Individual

ANITA CAVE DEANDA

Active
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Individual

ANITA CAVE DEANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J2529
TX
390200000X
Student in an Organized Health Care Education/Training Program
BC2690003
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75-2616977-027
TRICARE
TX
01
75-2616977-042
TRICARE
TX
Enumeration date
03/06/2007
Last updated
05/12/2014
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