NPI age
19 years
Enumerated 2006-06-05
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00486U | MEDICARE GROUP BILLING # |
| 01 (TX) | CK3641 | RR MEDICARE GROUP ID # |
| 01 (TX) | L0913 | MEDICAL LICENSE |
| 01 (TX) | 0021HW | BCBS GROUP BILLING ID |
| 01 (TX) | 1245417294 | GROUP NPI |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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