NPI age
17 years
Enumerated 2008-10-30
Across 1762 active clinic/center providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 091037401 | |
| 01 (CA) | B1341201 | DELTA DENTAL |
| 01 (PA) | 600826 | UNITED CONCORDIA TRICARE |
Multi-provider organization. 2 individual providers on file at this primary address.
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