NPI age
19 years
Enumerated 2007-02-15
Across 167 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | P00305690 | MEDICARE RAILROAD CARRIER |
| 01 (TX) | 89D241 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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