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Individual

MARY KATHRYN EAGLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP1-0039531
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376763401
TX
01
75-2616977-118
TRICARE
TX
01
8HE842
BCBS
TX
01
P01912556
MEDICARE RAIL ROAD
TX
Enumeration date
05/27/2011
Last updated
03/17/2018
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