NPI age
19 years
Enumerated 2006-12-19
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00X189 | MEDICARE GROUP NUMBER |
| 01 (TX) | 1063575942 | NPI GRUOP NUMBER |
| 01 (TX) | 1881620581 | NPI |
Single-site organization. Only one practice location on file.
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