NPI age
19 years
Enumerated 2006-08-30
Across 46 active clinic/center providers in Texas.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00PT24 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 130260605 |
Multi-provider organization. 11 individual providers on file at this primary address.
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