NPI age
19 years
Enumerated 2007-05-22
Across 9237 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 1905661 | UNITED/CONCORDIA |
| 05 (TX) | 211977801 | |
| 05 (TX) | 211977802 | |
| 01 | 1528278132 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 211977805 |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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