NPI age
19 years
Enumerated 2006-06-02
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 091691802 | |
| 05 (TX) | 016085501 | |
| 01 (TX) | 515615 | BLUE CROSS BLUE SHIELD |
Single-site organization. Only one practice location on file.
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