NPI age
14 years
Enumerated 2011-12-14
Across 894 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120980101 | |
| 01 (TX) | 00MT08 | GROUP MEDICARE |
| 05 (TX) | 120980103 | |
| 05 (TX) | 192233801 | |
| 05 (TX) | 120980102 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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