NPI age
20 years
Enumerated 2006-04-14
Across 1165 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 000R5943 | |
| 05 (TX) | 094307802 | |
| 05 (CO) | 54929571 |
Single-site organization. Only one practice location on file.
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