NPI age
18 years
Enumerated 2008-05-16
Across 4038 active specialist providers in Texas.
5 secondary locations on file with NPPES.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 187778002 | |
| 01 (AR) | 5G704 | MEDICARE ARKANSAS PTAN |
| 05 (OK) | 200215200A | |
| 01 | TXB106200 | MEDICARE TEXAS PTAN |
Multi-provider organization. 4 individual providers on file at this primary address. Plus 5 secondary practice locations.
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