NPI age
20 years
Enumerated 2005-12-23
Across 803 active pain medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8D2510 | MEDICARE-00606K |
| 01 (TX) | 8K7832 | MEDICARE-00607K |
| 01 (TX) | 136902716 | MEDICAID-00607K |
| 01 (TX) | 8G7059 | BCBS |
| 01 (TX) | 136902714 | MEDICAID-00606K |
| 01 (TX) | 136902713 | MEDICAID-00339K |
| 05 (TX) | 136902717 | |
| 01 (TX) | 8C0801 | MEDICARE-00339K |
| 01 (TX) | P00160206 | RAILROAD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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