NPI age
16 years
Enumerated 2009-07-21
Across 801 active contractor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 119699991 | TX WORKFORCE NUMBER |
| 01 (TX) | 0801091181 | LLC AGENT NUMBER |
Single-site organization. Only one practice location on file.
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