NPI age
20 years
Enumerated 2006-03-14
Across 33 active specialist/technologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 022438801 | |
| 05 (TX) | 1871668970 | |
| 01 (TX) | 528263 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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