NPI age
19 years
Enumerated 2007-03-26
Across 232 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0060DL | BCBS |
| 01 (TX) | 021716801 | MEDICAID (SECONDARY) |
| 01 (TX) | 144906802 | MEDICAID DME |
| 01 (TX) | 456783 | MEDICARE |
| 01 (TX) | 062884401 | MEDICAID (PRIMARY) |
| 01 (TX) | 144906801 | MEDICAID DME |
Multi-provider organization. 1 individual provider on file at this primary address.
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