NPI age
19 years
Enumerated 2006-10-27
Across 803 active pain medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | P00222119 | RR MCR PTAN |
| 05 (TX) | 14081505 | |
| 01 (TX) | 612065800 | US DEPARTMENT OF LABOR |
| 01 (TX) | 8P0340 | BLUE CROSS |
| 01 (WA) | 8203509 | WASHINGTON WC |
| 01 | 1152807 | CIGNA |
| 01 (TX) | 3488569 | AETNA |
| 01 | P00222119 | MEDICARE PTAN |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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