NPI age
18 years
Enumerated 2007-11-27
Across 128 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 451901 | GROUP MEDICARE |
| 01 (TX) | 130880104 | GROUP MEDICAID |
| 01 (TX) | 1831267079 | GROUP NPI |
Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.
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