NPI age
19 years
Enumerated 2006-08-21
Across 1466 active clinic/center providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1490443-04 | |
| 01 (TX) | 0067KP | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 20 individual providers on file at this primary address.
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