NPI age
11 years
Enumerated 2014-07-01
Across 1225 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1093121824 | NPI |
| 01 (TX) | 1386704187 | PROVIDER'S NPI |
| 01 (TX) | 365115 | MEDICARE PROVIDER# |
| 01 (TX) | 87T45 | BCBS |
Multi-provider organization. 1 individual provider on file at this primary address.
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