NPI age
20 years
Enumerated 2006-02-01
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1144291519 | NPI |
| 05 (TX) | 097574002 | |
| 01 (TX) | 240007915 | RAILROAD MEDICARE NUMBER |
| 01 (TX) | G5032 | TEXAS LICENSE |
| 01 (TX) | 00B79C | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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