NPI age
20 years
Enumerated 2005-06-30
Across 4038 active specialist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 257628 | COVENTRY HMO |
| 01 (GA) | 513957 | BCBS |
| 05 (GA) | 575607154C | |
| 05 (TX) | 575607154 | |
| 05 (GA) | 575607154A | |
| 01 (GA) | 10061047 | AMERIGROUP |
| 01 (GA) | 3704635 | AETNA HMO |
| 05 (GA) | 575607154B | |
| 01 (GA) | 906070 | COVENTRY PPO |
| 01 (GA) | 373517 | BCBS |
| 01 (GA) | 951740 | BCBS |
| 01 (GA) | 7325471 | AETNA |
| 01 (GA) | 0800646 | UHC |
| 01 (GA) | 294525 | WELLCARE |
| 01 (GA) | P00222036 | RR MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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