NPI age
19 years
Enumerated 2007-04-02
Across 4038 active specialist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 389489 | MEDICARE |
| 05 (TX) | 093722901 |
Multi-site organization. 2 additional practice locations on file.
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