NPI age
18 years
Enumerated 2008-02-11
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 145366002 | |
| 05 (TX) | 144733601 | |
| 05 (AR) | 145165001 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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