Individual
JOHN D MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326086778
BLUE CROSS BLUE SHIELD
TX
05
—
204590802
—
TX
01
—
8Y0410
BCBS
TX
01
—
P01078375
RR MEDICARE
TX
Enumeration date
06/04/2006
Last updated
11/01/2012
Update your record
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