NPI age
13 years
Enumerated 2012-10-17
Across 139 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 262282 | MEDICARE PTAN |
| 01 (TX) | 0830DC | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 316060801 | |
| 05 (TX) | 316060802 |
Single-site organization. Only one practice location on file.
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