NPI age
20 years
Enumerated 2006-03-30
Across 2155 active ophthalmology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0428104-01 | |
| 01 (TX) | P00250668 | RR/MEDICARE |
| 01 (TX) | 84007K | BLUE SHIELD |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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