NPI age
20 years
Enumerated 2006-02-27
Across 105 active legal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8X5373 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 102739304 | |
| 05 (TX) | 102739301 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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