NPI age
19 years
Enumerated 2007-05-11
Across 139 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 250402 | |
| 01 (TX) | 750457 | BCBS |
Single-site organization. Only one practice location on file.
Subpart of Valley Baptist Medical Center.
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