NPI age
20 years
Enumerated 2005-08-03
Across 1165 active clinic/center providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 094322701 | |
| 01 (TX) | 019456 | DMEPOS ACCREDIDIATION CERTIFICATION |
| 01 (TX) | 007039 | TEXAS DEPARTMENT OF STATE HEALTH SERVICES REGULATORY UNIT-ESRD FACILITY |
Multi-site organization. 1 additional practice location on file.
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