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Contact Information

JOHN JUAREZ JR, MD
2401 S 31ST ST
TEMPLE, TX76508
 Phone: 254-724-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JOHN JUAREZ JR · (Male)

NPI Number 1588647663
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 08/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # F6808
  • TX Medicaid 128966203
  • TX Other 80594R BLUE CROSS BLUE SHIELD
  • TX Other 742829967002 HUMANA/MILITARY-TRICARE
  • TX Other 300129144 MEDICARE RAILROAD
  • TX Other 128966203 SUPERIOR CHIPS
Hospital affiliation(s)
  • NACOGDOCHES MEDICAL CENTER - (Acute Care)
    4920 NE STALLINGS DRIVE
    NACOGDOCHES, TX 75961
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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