NPI age
19 years
Enumerated 2006-06-08
Across 16582 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100835480A | |
| 05 (TX) | 058539001 | |
| 01 | 120487 | SUPERIOR PROVIDER NUMBER |
| 01 (TX) | 80814T | BCBS PROVIDER NUMBER |
| 01 | 7680464 | AETNA PROVIDER NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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