NPI age
21 years
Enumerated 2005-05-24
Across 237 active clinic/center providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 242867 | AMERIGROUP |
| 01 | P00137434 | RAILROAD MCARE |
| 01 | 7562589 | AETNA/MEDSOLUTIONS |
| 01 | 2241750 | FIRST HEALTH |
| 01 | 0307DC | BCBS PROV # |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 7 individual providers on file at this primary address.
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