NPI age
20 years
Enumerated 2005-09-16
Across 4038 active specialist providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 155663101 | |
| 01 (TX) | 26JB | BC/BS GROUP NUMBER |
| 01 (TX) | 351640200 | US DEPT. OF LABOR GROUP # |
Multi-provider organization. 6 individual providers on file at this primary address.
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