Individual
JOHN JUAREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F6808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128966203
SUPERIOR CHIPS
TX
05
—
128966203
—
TX
01
—
300129144
MEDICARE RAILROAD
TX
01
—
742829967002
HUMANA/MILITARY-TRICARE
TX
01
—
80594R
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/22/2005
Last updated
08/12/2019
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