NPI age
19 years
Enumerated 2006-07-02
Across 1647 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | P00300440 | RAILROAD MEDICARE |
| 01 (TX) | HH039A | BLUE CROSS BLUE SHIELD |
| 01 | 07690690 | AETBA INS CO |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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