NPI age
20 years
Enumerated 2005-06-23
Across 640 active clinic/center providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0366DC | IDTF BLUE CROSS |
| 05 (TX) | 162648301 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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