NPI age
14 years
Enumerated 2011-08-18
Across 1762 active clinic/center providers in Texas.
1 secondary location on file with NPPES.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 280969101 | |
| 05 (TX) | 009547301 | |
| 01 (TX) | 26291 | DENTAL LICENSE NUMBER |
| 05 (TX) | 090878203 | |
| 01 (TX) | 12102 | DENTAL LICENSE NUMBER |
| 01 (TX) | 19635 | DENTAL LICENSE NUMBER |
| 05 (TX) | 316310702 | |
| 01 (TX) | 26496 | DENTAL LICENSE NUMBER |
Multi-provider organization. 2 individual providers on file at this primary address. Plus 1 secondary practice location.
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