NPI age
19 years
Enumerated 2006-12-21
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 82D008 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 840034 | UNITED CONCORDIA |
| 05 (TX) | 090501002 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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