NPI age
19 years
Enumerated 2006-07-25
Across 741 active prosthetic/orthotic supplier providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 156086402 | |
| 01 (TX) | 530204 | BLUE CROSS DME |
| 01 (TX) | 530754 | BLUE CROSS O & P |
| 05 (TX) | 156086401 |
Multi-provider organization. 1 individual provider on file at this primary address.
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