NPI age
16 years
Enumerated 2010-04-20
Across 25 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 365593801 | |
| 01 (TX) | 542585YKY3 | MEDICARE INDIVIDUAL ID |
Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.
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