NPI age
20 years
Enumerated 2005-09-07
Across 689 active clinic/center providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 1124012935 | NPI |
| 05 (TX) | 091938302 |
Multi-provider organization. 4 individual providers on file at this primary address.
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