NPI age
12 years
Enumerated 2013-08-29
Across 689 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 368313803 | |
| 05 (TX) | 368313801 | |
| 05 (TX) | 368313802 |
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Dewitt Medical District.
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