NPI age
20 years
Enumerated 2006-02-16
Across 14 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00G943 | BCBS |
| 01 (TX) | A001 | TRICARE |
| 01 (TX) | CD5230 | RAILROAD MEDICARE |
| 01 (TX) | 20010 | TRICARE SOUTH |
Single-site organization. Only one practice location on file.
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