NPI age
21 years
Enumerated 2005-05-30
Across 196 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0934564 | |
| 01 (TX) | 80813Q | BCBS GROUP #0058FC |
| 01 (TX) | 4502490 | AETNA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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