NPI age
19 years
Enumerated 2006-10-13
Across 164 active clinic/center providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 004943 | STATE LICENSE |
| 01 (TX) | HH1615 | BLUE CROSS BLUE SHIELD |
Multi-provider organization. 2 individual providers on file at this primary address.
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