NPI age
18 years
Enumerated 2007-10-22
Across 4038 active specialist providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 159630601 | TPI |
| 05 (TX) | 159630601 | |
| 01 (TX) | 8AJ848 | BCBS |
| 01 (TX) | B22052 | UPIN |
| 01 (TX) | E1838 | TX LIC. |
| 01 (TX) | 0033QS | BCBS GROUP |
Multi-provider organization. 2 individual providers on file at this primary address.
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