NPI age
19 years
Enumerated 2006-12-11
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 400000025 | RAILROAD MEDICARE |
| 01 (TX) | 109525 | CHIP HEALTH PLAN |
| 05 (TX) | 089526002 | |
| 01 (OK) | 100167280A | MEDICAID OF OK |
| 01 (TX) | 110691100 | FIRST CARE |
| 01 | 179154600 | US DEPT OF LABOR |
| 01 (TX) | 00RX08 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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