NPI age
13 years
Enumerated 2012-10-19
Across 387 active specialist/technologist, other providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 320607 | MEDICARE PTAN |
| 01 (TX) | 0088SX | BCBS |
| 01 (TX) | 327288YV3C | MEDICARE PTAN |
Multi-provider organization. 1 individual provider on file at this primary address.
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