NPI age
19 years
Enumerated 2007-01-03
Across 12911 active social worker providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 30465 | TX STATE BOARD OF SW EXAM |
| 01 (TX) | 000000022P | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 0713729-02 |
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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