NPI age
18 years
Enumerated 2007-10-26
Across 1738 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 189393505 | |
| 01 | 12236521 | CAQH |
| 01 (TX) | 8CT868 | BCBS |
Part of a multi-provider practice. 60 other active providers share this practice address in NPPES.
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