NPI age
20 years
Enumerated 2005-10-10
Across 1597 active pathology providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121743201 | |
| 01 (TX) | D89C | BLUE CROSS BLUE SHIELD |
Multi-site organization. 4 additional practice locations on file.
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