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Individual

DR. JOSEPHINE DEZA CHUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3440 NE STALLINGS DR, NACOGDOCHES, TX 75965-8719
(936) 564-2710
(936) 564-2791
Mailing address
3440 NE STALLINGS DR, NACOGDOCHES, TX 75965-8719
(936) 564-2710
(936) 564-2791

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K9503
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142075401
TX
01
752908294
TAX ID
TX
Enumeration date
01/05/2006
Last updated
03/02/2012
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