NPI age
18 years
Enumerated 2007-06-06
Across 1738 active physical medicine & rehabilitation providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-095 | TRICARE |
| 05 (TX) | 370028801 |
Part of a multi-provider practice. 49 other active providers share this practice address in NPPES.
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