NPI age
20 years
Enumerated 2006-04-26
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 000R34 | BCBS |
| 05 (TX) | 139512111 | |
| 05 (TX) | 139512101 | |
| 01 | 1700425 | UNITED |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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