Individual
JAIME ESTRADA
Active
Individual
JAIME ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
G2361
TX
208000000X
Pediatrics Physician
G2361
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
G2361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133046612
—
TX
01
—
133046613
CSHCN
TX
01
—
8BX389
BCBS
TX
Enumeration date
05/28/2006
Last updated
04/04/2012
Update your record
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