NPI age
20 years
Enumerated 2005-07-28
Across 1647 active clinic/center providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 160255901 | |
| 01 (TX) | HH1587 | BCBS OF TEXAS |
| 01 (TX) | 007790 | STATE LICENSE |
| 01 (TX) | P00097841 | RAILROAD MEDICARE |
| 01 (TX) | X70695 | UPIN |
Multi-provider organization. 3 individual providers on file at this primary address.
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