NPI age
19 years
Enumerated 2006-07-30
Across 1647 active clinic/center providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 7073707 | AETNA PIN |
| 01 (TX) | 2510957 | UNITED HEALTHCARE PIN |
| 01 (TX) | 1713599 | CIGNA PIN |
Multi-provider organization. 4 individual providers on file at this primary address.
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