NPI age
20 years
Enumerated 2005-06-01
Across 55 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 070002897 | MEDICARE RAILROAD |
| 01 (TX) | 807985 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 037631101 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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