NPI age
20 years
Enumerated 2005-07-21
Across 4038 active specialist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 140007873 | RAILROAD MEDICARE |
| 05 (TX) | 125802205 | |
| 01 (TX) | 4364874 | AETNA |
| 01 (TX) | 2824444001 | CIGNA |
| 01 (TX) | 8F3760 | BCBS |
| 05 (TX) | 148913001 | |
| 01 (TX) | 0020HD | GROUP BCBS |
| 01 (TX) | A003 | TRICARE CHAMPUS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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