NPI age
20 years
Enumerated 2005-11-10
Across 56 active physical medicine & rehabilitation providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1295800-02 | |
| 01 (TX) | H0558 | STATE MEDICAL LICENSE |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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