NPI age
21 years
Enumerated 2005-05-24
Across 237 active clinic/center providers in Texas.
12 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 242744 | AMERIGROUP |
| 01 | 7126556 | AETNA/MEDSOLUTIONS-PPO |
| 01 (TX) | 0343DC | BCBS PROV # |
| 01 | 3537015 | AETNA/MEDSOLUTONS -HMO |
Multi-provider organization. 12 individual providers on file at this primary address.
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