NPI age
20 years
Enumerated 2005-09-26
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 015622601 | |
| 05 (TX) | 086683201 | |
| 01 (TX) | PH0477 | MEDICARE LOCAL PART B PN |
| 05 (TX) | 015622603 | |
| 01 (TX) | 506881 | BLUE CROSS BLUESHIELD |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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