NPI age
21 years
Enumerated 2005-05-24
Across 237 active clinic/center providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 242745 | AMERIGROUP |
| 01 | 3537014 | AETNA/MEDSOLUTIONS-HMO |
| 01 (TX) | 0342DC | BCBS PROV # |
| 01 | 7992617 | AETNA/MEDSOLUTIONS -PPO |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 3 individual providers on file at this primary address.
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