NPI age
6 years
Enumerated 2019-12-08
Across 801 active contractor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 01 | 01 |
| 05 (TX) | 000000000 | |
| 05 (TX) | 05 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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