NPI age
20 years
Enumerated 2006-02-08
Across 63 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | P00147013 | MEDICARE RAILROAD CARRIER |
| 05 (SC) | ZX0019 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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