NPI age
18 years
Enumerated 2008-02-16
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157685201 | |
| 01 (TX) | 0092HL | BCBS |
| 01 (TX) | PO0343420 | MEDICARE RAILROAD |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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