NPI age
17 years
Enumerated 2009-02-20
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | P000F11X8 | |
| 01 (TX) | 00F11X | BLUECROSS BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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