NPI age
16 years
Enumerated 2010-03-04
Across 4038 active specialist providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0352775-01 | |
| 01 | 1871561308 | INDIVIDUAL NPI |
Multi-provider organization. 2 individual providers on file at this primary address.
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