NPI age
19 years
Enumerated 2006-05-30
Across 46 active clinic/center providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 079695501 | |
| 01 (TX) | 0034MA | BLUE CROSS BLUD SHIELD |
Multi-provider organization. 6 individual providers on file at this primary address.
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