NPI age
20 years
Enumerated 2006-01-19
Across 36 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00622290 | RR MEDICARE |
| 01 (TX) | 8BE215 | BCBS |
| 05 (TX) | 188256502 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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