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Individual

AMY G COBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H6121
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0360550001
PALMETTO GBA
05
122802502
TX
05
122802505
TX
05
122802506
TX
05
122802507
TX
01
8CF306
BLUE CROSS BLUE SHIELD
TX
01
P00837098
MEDICARE RAILROAD
TX
01
P01063009
RAILROAD MEDICARE
TX
Enumeration date
04/20/2006
Last updated
08/30/2016
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