NPI age
19 years
Enumerated 2006-10-31
Across 9237 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 693641 | UNITED CONCORDIA PROVIDER |
| 01 (TX) | D14566 | BC/BS PROVIDER (TEXAS) |
| 05 (TX) | 120777102 | |
| 01 (TX) | B14566 | CHIP PROVIDER ID |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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