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Individual

DR. DIEGO JOSE MASELLI CACERES

Active
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Individual

DR. DIEGO JOSE MASELLI CACERES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P2730
TX
207RP1001X
Pulmonary Disease Physician
Primary
P2730
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296013001
TX
01
296013002
MEDICAID (CSHCN)
TX
Enumeration date
05/07/2009
Last updated
07/26/2012
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