NPI age
19 years
Enumerated 2006-10-01
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | D20617 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 01361994 | UNITED CONCORDIA |
| 01 (TX) | B20617 | CHIPS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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