NPI age
11 years
Enumerated 2015-02-17
Across 1165 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 110347 | STATE LICENSE |
| 05 (TX) | 3844276-01 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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