NPI age
20 years
Enumerated 2005-06-22
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 5697637 | CIGNA PROVIDER NUMBER |
| 01 (TX) | 8S9770 | BCBS |
| 01 (TX) | 7285570 | AETNA PROVIDER NUMBER |
| 05 (TX) | 167370901 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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