NPI age
19 years
Enumerated 2006-06-04
Across 803 active pain medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | V0146535 | DPS |
| 01 (TX) | 8S5689 | BLUE CROSS BLUE SHIELD |
| 01 | 6465986 | CIGNA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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