NPI age
18 years
Enumerated 2008-01-22
Across 1632 active dermatology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 316565602 | MEDICAID CSHCN |
| 01 (TX) | 316565605 | CSHCN |
| 05 (TX) | 316565604 | |
| 05 (TX) | 316565601 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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