NPI age
19 years
Enumerated 2007-04-10
Across 246 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PL7138 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 1566069-01 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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