NPI age
19 years
Enumerated 2007-01-30
Across 1738 active physical medicine & rehabilitation providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 082428601 | |
| 01 (TX) | 00F20L | BCBS GROUP # |
Multi-provider organization. 6 individual providers on file at this primary address.
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