NPI age
19 years
Enumerated 2006-12-01
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 11930 | LICENSE |
| 01 (TX) | D11930 | BC FEDERAL PROGRAM |
| 01 (TX) | 76602 | UNITED CONCORDIA |
Solo or small practice. No other active providers share this practice address in NPPES.
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