NPI age
19 years
Enumerated 2006-07-21
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 168165201 | |
| 05 (TX) | 168165202 | |
| 05 (TX) | 2053027-01 | |
| 05 (TX) | 2019515-01 | |
| 05 (TX) | 2021230-01 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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