NPI age
21 years
Enumerated 2005-05-23
Across 1738 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 182746300 | FEDERAL WORKERS COMP |
| 01 (TX) | 4573189 | AETNA |
| 01 (TX) | 250007825 | RAIL ROAD MEDICARE |
| 05 (TX) | 126596906 | |
| 01 | 8AJ843 | BC/BS |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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