NPI age
19 years
Enumerated 2006-11-01
Across 463 active private vehicle providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (VI) | 017287601 | |
| 05 (TX) | 017287602 | |
| 05 (TX) | 017287603 | |
| 05 (TX) | DME H61736 |
Single-site organization. Only one practice location on file.
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