NPI age
19 years
Enumerated 2006-08-13
Across 3770 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 6123LC | BC/BS PIN |
| 05 (TX) | 028635301 | |
| 01 (TX) | 155451 | VALUE OPTIONS PIN |
| 01 (TX) | 7896512 | AETNA PIN |
| 01 (TX) | H06123LC01 | BC/BS PIN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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