NPI age
20 years
Enumerated 2006-04-10
Across 43 active non-pharmacy dispensing site providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00C307 | BLUE SHIELD |
| 05 (TX) | 1496267-02 | |
| 05 (TX) | 1496267-01 |
Multi-provider organization. 5 individual providers on file at this primary address.
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