NPI age
19 years
Enumerated 2007-05-23
Across 4038 active specialist providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 0043QF | BLUE CROSS BLUE SHIELD |
| 01 | 8AJ457 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | M4964 | MEDICAL LICENSE |
Multi-provider organization. 5 individual providers on file at this primary address.
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