NPI age
19 years
Enumerated 2007-01-18
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 751477994 | TAX ID # |
| 05 (TX) | 11235461 | |
| 01 (TX) | 041539337 | RAILROAD MEDICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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