NPI age
20 years
Enumerated 2005-09-06
Across 16582 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 058388202 | |
| 01 | 8T1381 | BLUE CROSS |
| 01 | A002 | TRICARE |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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