NPI age
19 years
Enumerated 2006-11-30
Across 1850 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1073631107 | NPI |
| 01 (TX) | 1598833550 | NPI- TYPE 1 |
| 01 (TX) | 47-0853393 | TAX ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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