NPI age
20 years
Enumerated 2006-01-23
Across 55 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 400786602 | CSHCN |
| 01 | 1497725576 | MILITARY |
| 05 (TX) | 400786601 |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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