NPI age
11 years
Enumerated 2014-08-19
Across 1407 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 13780315 | CAQH |
| 01 | 152254 | NBSTSA |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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