NPI age
11 years
Enumerated 2014-09-12
Across 1407 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 154639 | NBSTSA BOARD CERTIFICATION |
| 01 (TX) | 1234 | CERTIFICATION - OPA-C |
| 01 (TX) | SA00555 | LSA LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →