Individual
DIEGO C MARINES COPADO
Active
Individual
DIEGO C MARINES COPADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
Q4802
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10035355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350607301
—
TX
05
—
350607302
—
TX
01
—
8FG094
BLUE CROSS BLUE SHIELD
TX
01
—
8GD704
BCBS
TX
Enumeration date
06/16/2009
Last updated
12/19/2016
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