NPI age
10 years
Enumerated 2016-05-04
Across 640 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0971DC | BCBS |
| 05 (TX) | 365018602 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Laurence Robert Bower III.
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