NPI age
18 years
Enumerated 2007-12-10
Across 4038 active specialist providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0028NH | BCBS GROUP NUMBER |
| 05 (TX) | 179486901 |
Multi-provider organization. 3 individual providers on file at this primary address.
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