Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | E1760 | TX |
Y | 111NI0900X | Internist | E1760 | TX |
N | 207U00000X | Nuclear Medicine Specialist | E1760 | TX |
NPI | 1295726271 |
---|---|
Provider Name | Jagmeet S Soin |
First Address | Corpus Christi, TX 78415-2909 |
Second Address | Corpus Christi, TX 78415-2909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 03/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1655565 | (05) | TX |
8F1972 | BLUE CROSS BLUE SHIELD (01) | TX |
D03167 | (02) | TX |
P00157556 | RAILROAD MEDICARE (01) | TX |