NPI age
19 years
Enumerated 2007-04-19
Across 803 active pain medicine providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 161781301 | |
| 01 (TX) | 0036KV | BLUE CROSS BLUE SHIELD |
| 01 (TX) | DA5689 | RAILROAD MEDICARE GROUP |
| 01 (TX) | P00063511 | RAILROAD MEDICARE INDIVIDUAL |
Multi-provider organization. 2 individual providers on file at this primary address.
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