NPI age
19 years
Enumerated 2006-10-29
Across 4038 active specialist providers in Texas.
9 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0040JK | BCBS GROUP NUMBER |
| 01 (TX) | 9399591007 | CIGNA NUMBER |
| 01 (TX) | 2543029 | AETNA NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 9 individual providers on file at this primary address.
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