NPI age
19 years
Enumerated 2006-08-18
Across 105 active legal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8A332 | BLUE CROSS PROVIDER NUMBE |
| 05 (TX) | 126987003 |
Solo or small practice. No other active providers share this practice address in NPPES.
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