NPI age
12 years
Enumerated 2013-12-10
Across 894 active clinic/center providers in Texas.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 367305501 | |
| 01 | 74-1943 | CMS CERTIFICATION |
Multi-provider organization. 13 individual providers on file at this primary address.
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