NPI age
20 years
Enumerated 2005-11-29
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 3378225 | BCBS BLUE LINK NUMBER |
| 05 (TX) | 146028901 | |
| 01 (TX) | 0076EQ | BCBS NUMBER |
| 01 (TX) | 7540001 | AETNA |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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