NPI age
17 years
Enumerated 2009-02-06
Across 237 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00DA01 | MEDICARE PROVIDER NUMBER |
| 01 (TX) | 127736001 | MEDICAID PROVIDER NUMBER |
| 01 (TX) | 10021743 | AMERIGROUP PROVIDER NUMBER |
| 05 (TX) | 179847201 | |
| 01 (TX) | 612207 | MEDICARE PROVIDER NUMBER |
Single-site organization. Only one practice location on file.
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