Individual
DR. JERRAN VASCOE
Active
Individual
DR. JERRAN VASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P1501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302425901
—
TX
01
—
8DJ828
BCBS
TX
01
—
P01232846
RR MEDICARE
TX
01
—
TXB8DJ828
BLUE CROSS BLUE SHIELDS
TX
Enumeration date
05/25/2012
Last updated
03/08/2017
Update your record
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