NPI age
19 years
Enumerated 2007-04-12
Across 4038 active specialist providers in Texas.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0001 | GP ID FOR TRICARE |
| 05 (TX) | 165446901 | |
| 01 (TX) | 0061KZ | GROUP ID FOR BCBS |
| 01 (TX) | DC2985 | GP ID# RAILROAD MEDICARE |
Multi-provider organization. 15 individual providers on file at this primary address.
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