NPI age
19 years
Enumerated 2006-07-07
Across 3770 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121955201 | |
| 01 (TX) | 3638LC | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 240401 | VALUE OPTIONS |
Solo or small practice. No other active providers share this practice address in NPPES.
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