NPI age
18 years
Enumerated 2007-12-27
Across 246 active specialist/technologist, other providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 0075KH | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 159996101 |
Multi-provider organization. 1 individual provider on file at this primary address.
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