NPI age
20 years
Enumerated 2006-02-14
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 2290240 | AETNA |
| 01 | 2667558003 | CIGNA |
| 01 | 86430X-3333848 | BLUECROSS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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