NPI age
19 years
Enumerated 2007-02-12
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0070PL | BCBS GROUP # |
| 01 (TX) | DG4917 | RR MEDICARE GROUP # |
Single-site organization. Only one practice location on file.
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