NPI age
17 years
Enumerated 2008-07-18
Across 1647 active clinic/center providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 008685 | STATE LIC |
| 05 (TX) | 201640401 | |
| 01 (TX) | ASC380 | MEDICARE |
Multi-provider organization. 3 individual providers on file at this primary address.
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