NPI age
18 years
Enumerated 2007-11-09
Across 894 active clinic/center providers in Texas.
17 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120980103 | |
| 01 (TX) | 00MT08 | GROUP MEDICARE |
| 05 (TX) | 120980102 | |
| 05 (TX) | 102980101 | |
| 01 (TX) | G60232-02 | DELTA DENTAL |
| 05 (TX) | 120980105 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 17 individual providers on file at this primary address.
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