Individual
RICHARD H MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E2284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10028773
AMERIGROUP
—
01
—
110081715
MEDICARE RAILROAD
—
05
—
118141401
—
TX
01
—
1634476
UNISYS LOUISIANA MEDICAID
—
01
—
4036862
AETNA
—
01
—
834766
BLUE CROSS BLUE SHIELD TX
—
Enumeration date
06/20/2006
Last updated
02/16/2016
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