Individual
DR. JUSTINA PEPPLE TAUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J4553
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
J4553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136962112
—
TX
01
—
8W4460
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/21/2006
Last updated
08/25/2015
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