NPI age
19 years
Enumerated 2006-07-15
Across 2087 active general practice providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0801377601 | |
| 01 (TX) | 00929K | DEACTIVATED |
Multi-provider organization. 3 individual providers on file at this primary address.
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