NPI age
20 years
Enumerated 2005-08-10
Across 56 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1383066908 | |
| 01 (TX) | 138306908 | MEDICAID |
| 01 (TX) | 138306907 | CSHCN |
| 01 (TX) | 1407857543 | HTTPS://NPPES.CMS.HHS.GOV/NPPES |
| 05 (TX) | 138306908 | |
| 01 (TX) | G8980 | MEDICAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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