NPI age
20 years
Enumerated 2005-10-27
Across 1632 active dermatology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8B8802 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 105402503 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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