NPI age
18 years
Enumerated 2007-06-14
Across 345 active clinic/center providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3501637-01 | |
| 05 (TX) | 3513186-01 | |
| 05 (TX) | 108342002 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-site organization. 1 additional practice location on file.
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