NPI age
20 years
Enumerated 2006-05-19
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 83560X | BCBS PROVIDER NUMBER |
| 01 | 040014024 | MEDICARE RAILROAD PIN |
| 01 (TX) | 7082003 | AETNA PROVIDER NUMBER |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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