NPI age
20 years
Enumerated 2006-02-08
Across 59 active neuromusculoskeletal medicine & omm providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 015361 | |
| 01 (TX) | 83036G | BCBS |
| 01 (TX) | 080170217 | RAILROAD MEDICARE PIN |
| 05 (TX) | 118515904 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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