NPI age
19 years
Enumerated 2007-03-20
Across 4038 active specialist providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 184714701 | |
| 01 (TX) | P00385879 | MEDICARE RAILROAD PTAN |
Multi-provider organization. 5 individual providers on file at this primary address.
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