NPI age
19 years
Enumerated 2006-08-03
Across 6200 active durable medical equipment & medical supplies providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1151530001 | PTAN |
| 01 (TX) | 519920 | BLUE CROSS BLUE SHIELD TX |
| 05 (TX) | 0164659-01 | |
| 05 (TX) | 0105819-01 |
Single-site organization. Only one practice location on file.
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