NPI age
15 years
Enumerated 2010-11-08
Across 4038 active specialist providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1386694867 | INDIVIDUAL NPI HAS ALREADY BEEN ASSIGNED |
| 05 (TX) | 133358503 | |
| 01 (TX) | 00BX12 | MEDICARE ID- UNSPECIFIED |
Multi-provider organization. 3 individual providers on file at this primary address.
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