NPI age
20 years
Enumerated 2005-06-17
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 3029936 | BCBS PROVIDER NUMBER |
| 05 (KY) | 64743180 | |
| 05 (AL) | 009607740 | |
| 05 (TN) | 3177194 |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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