NPI age
19 years
Enumerated 2007-03-26
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (UT) | 23461 | UNITED HEALTHCARE # |
| 01 (PA) | 104717 | UNITED CONCORDIA # |
| 01 (TX) | 84D494 | BLUE CROSS BLUE SHIELD # |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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