NPI age
19 years
Enumerated 2007-05-10
Across 803 active pain medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00U37Y | BCBS PROVIDER NUMBER |
| 05 (TX) | 1608366-01 | |
| 01 (TX) | 355767400 | US DEPARTMENT OF LABOR |
| 01 (TX) | 29479 | AMERICAID PROVIDER |
Multi-provider organization. 1 individual provider on file at this primary address.
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