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NPI Code Detail

MEDICARE: JOHN CURTIS CAWYER JR. MD

MEDICARE:   JOHN CURTIS CAWYER JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianM3970TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20041PTOTHERTXBCBS
38G7459OTHERTXBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5P00418296OTHERTXRAILROAD MCARE

General Provider Information

NPI Number : 1457453912
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN CURTIS CAWYER JR. MD
Provider Business Mailing Address
First Line : 4217 MIRA MONTE LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-6819
Country : US
Telephone Number : 817-750-1601
Fax Number :
Provider Business Practice Location Address
First Line : 4217 MIRA MONTE LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76179-6819
Country : US
Telephone Number : 817-750-1601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 06/09/2008

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Directions to “ JOHN CURTIS CAWYER JR. MD” Practice Location

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