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Individual

BRANCH T ARCHER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J1848
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100151800A
OK
01
107648100
FIRSTCARE
05
132619103
TX
01
82R442
BLUE CROSS OF TEXAS
TX
05
J8598
NM
01
MDJ1848
WORKERS COMPENSATION
TX
Enumeration date
03/31/2006
Last updated
06/11/2008
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