NPI age
20 years
Enumerated 2005-11-21
Across 1738 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 83670S | BCBS |
| 05 (TX) | 099595302 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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