Individual
JOHN JUAREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
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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