NPI age
19 years
Enumerated 2006-06-27
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8A2683 | BLUE CROSS AND BLUE SHIELD |
| 05 (TX) | 158633102 | |
| 01 (TX) | P00147252 | RAILROAD MEDICARE PTAN |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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