NPI age
19 years
Enumerated 2007-04-24
Across 850 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 203079301 | |
| 01 (TX) | 392541 | WELLCARE |
| 01 (TX) | DQ8950 | RAILROAD MEDICARE |
| 01 (TX) | 0158180352 | SECURE HORIZONS |
| 01 (TX) | 7809231 | AETNA |
Multi-provider organization. 1 individual provider on file at this primary address.
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