NPI age
20 years
Enumerated 2005-11-22
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 199499 | BLUE CROSS/BLUE SHIELD |
| 01 (MO) | 242103 | GHP |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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