NPI age
20 years
Enumerated 2005-07-12
Across 139 active pharmacy providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 750739 | BCBS-TEXAS |
| 05 (TX) | 0915993-01 | |
| 05 (TX) | 0915993-02 | |
| 05 (TX) | 0915993-03 | |
| 05 (TX) | 1184622318 | |
| 01 (TX) | 530629 | BCBS-DME |
| 05 (TX) | 0915993-04 | |
| 05 (TX) | 145380 |
Multi-provider organization. 1 individual provider on file at this primary address.
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