NPI age
20 years
Enumerated 2005-09-29
Across 935 active dentist providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 88D134 | BC/BS PROVIDER |
| 01 (TX) | 164989 | DBP |
| 01 (TX) | 51107 | ASSURANCE |
| 01 (TX) | 509663782 | UCCI |
| 01 (TX) | 51107 | DHA |
Multi-provider organization. 7 individual providers on file at this primary address.
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