NPI age
20 years
Enumerated 2006-03-29
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AJ142 | BLUE CROSS/BLUE SHIELD |
| 05 (TX) | 146975104 | |
| 01 (TX) | P00071030 | PALMETTO GBA(MEDICARE RAILROAD) |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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