NPI age
18 years
Enumerated 2008-01-14
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | D16040 | BCBS |
| 01 (TX) | B16040 | TEXAS CHIP |
| 01 (TX) | 801043 | UNITED CONCORDIA |
| 01 (NM) | 12357 | NM MEDICAID |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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