NPI age
20 years
Enumerated 2005-11-07
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 118297406 | CSHCN |
| 01 (TX) | 8H9285 | BCBS OF TEXAS |
| 05 (TX) | 118297405 | |
| 05 (TX) | 118297407 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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