NPI age
19 years
Enumerated 2006-07-15
Across 1647 active clinic/center providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | HH1348 | BLUECROSS BLUESHIELD |
| 01 (PA) | 323739 | BLUECROSS BLUESHIELD |
| 01 (TX) | 4442612 | AETNA |
Multi-provider organization. 3 individual providers on file at this primary address.
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