NPI age
20 years
Enumerated 2005-08-11
Across 1225 active clinic/center providers in Texas.
9 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 135244 | PT LICENSE |
| 01 (TX) | 612949000 | OWCP FED# |
| 01 (TX) | 604770000 | CLINIC REGISTRATION |
| 01 (TX) | 658850000 | LICENSE |
| 01 (TX) | 752472481 | OLD TAX ID |
| 01 (TX) | DG4667 | RAILROAD MEDICARE |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 9 individual providers on file at this primary address.
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