Juarez, John

Juarez, John is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Juarez, John can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508
Phone: (254) 724-2111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F6808 Texas

Profile Details

NPI number 1588647663
LBN Legal business name Juarez, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588647663 NPPES
Texas Other 80594R BLUE CROSS BLUE SHIELD
Texas Other 128966203 BLUE CROSS BLUE SHIELD
Texas Other 742829967002 BLUE CROSS BLUE SHIELD
Texas MEDICAID 128966203 BLUE CROSS BLUE SHIELD
Texas Other 300129144 BLUE CROSS BLUE SHIELD

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