NPI age
19 years
Enumerated 2006-08-24
Across 22 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | A003 | HUMANA/TRICARE |
| 01 (TX) | 81011Q | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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