NPI age
17 years
Enumerated 2009-04-28
Across 894 active clinic/center providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 205219301 | |
| 01 (TX) | 00QW12 | MEDICARE- UNSPEICIED TYPR ID |
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Community Action Corporation Of South Texas.
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