NPI age
19 years
Enumerated 2007-04-26
Across 1738 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TXB117512 | MEDICARE PART B - EFFECT 02/01/2011 |
| 01 (TX) | 8CR156 | BCBS TX 02/01/2011 |
| 01 (TX) | P00913359 | RAILROAD MEDICARE |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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