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Individual

DR. JOANNA HUDSON QUEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10044147
TX
207W00000X
Ophthalmology Physician
4301109301
MI
207W00000X
Ophthalmology Physician
Primary
R2944
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374878201
TX
Enumeration date
05/03/2012
Last updated
08/15/2018
Update your record

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