NPI age
21 years
Enumerated 2005-05-23
Across 803 active pain medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 133638001 | |
| 01 (TX) | 0017DR | BLUE CROSS/BLUE SHIELD |
Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.
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