NPI age
19 years
Enumerated 2006-11-21
Across 4038 active specialist providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0024PY | BLUE CROSS/BLUE SHIELD |
| 05 (TX) | 161490101 | |
| 01 (TX) | DA7630 | PALMETTO |
Multi-provider organization. 20 individual providers on file at this primary address.
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