NPI age
20 years
Enumerated 2005-06-17
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 88772S | BLUE CROSS |
| 05 (TX) | 042245302 | |
| 01 | 200040017 | MEDICARE RAILROAD |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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