NPI age
19 years
Enumerated 2006-06-05
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 126649605 | |
| 01 | 75159423576086A002 | TRICARE |
| 01 | 792590 | UNITED CONCORDIA DENTAL |
| 01 (TX) | 83M212 | BCBS |
| 01 | 0122878002 | CIGNA |
| 01 (TX) | 4104349 | AETNA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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