NPI age
19 years
Enumerated 2006-07-18
Across 232 active clinic/center providers in Texas.
10 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 172095501 | |
| 01 (TX) | 7056829 | AETNA |
| 01 (TX) | 0093LK | BCBS |
Multi-provider organization. 10 individual providers on file at this primary address.
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