Individual
DR. JOSEPHINE DEZA CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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