NPI age
19 years
Enumerated 2006-10-19
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 148102001 | |
| 01 (TX) | 0079JM | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 01364233 | UNITED CONCORDIA |
| 01 (TX) | 1039831 | UNITED HEALTHCARE |
Single-site organization. Only one practice location on file.
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