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Individual

CENAN M. ANTOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M2249
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174733901
TX
01
8H0435
BC/BS OF TEXAS
TX
01
T0142447
DPS
TX
Enumeration date
08/24/2006
Last updated
03/07/2023
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