NPI age
17 years
Enumerated 2008-12-05
Across 1176 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 731789000 | DOL |
| 01 (TX) | 00G8Z3 | BCBS RECORD ID |
| 01 (TX) | P01425146 | RR MEDICARE |
Single-site organization. Only one practice location on file.
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