NPI age
20 years
Enumerated 2005-06-21
Across 4038 active specialist providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 164329801 | |
| 01 (TX) | 181336500 | DEPARTMENT OF LABOR |
| 01 (TX) | 650019522 | RAILROAD MEDICARE |
| 01 (TX) | 0095DS | BLUECROSSBLUESHIELD OF TX |
Multi-provider organization. 4 individual providers on file at this primary address.
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