NPI age
20 years
Enumerated 2005-08-19
Across 6 active medical foods supplier providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 016227301 | |
| 05 (TX) | 079201201 | |
| 01 (TX) | 123926 | CHIP SUPERIOR HEALTH PLAN |
| 01 (TX) | 170281100 | VBHP VALLEY BAPTIST HEALTH PLAN |
| 05 (TX) | 087484401 | |
| 01 (TX) | 146304100 | VBHP FIRST CARE |
| 01 (TX) | 516518 | BLUE CROSS/BLUE SHIELD |
| 01 (TX) | 10026401 | AMERIGROUP |
Multi-provider organization. 2 individual providers on file at this primary address.
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