NPI age
21 years
Enumerated 2005-05-23
Across 319 active pain medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 079577501 | |
| 01 (TX) | 0040CG | BCBSTX GROUP ID |
| 05 (TX) | 038391101 | |
| 01 (TX) | 82931G | BCBSTX PROVIDER ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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