NPI age
19 years
Enumerated 2006-09-13
Across 4038 active specialist providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 155622701 | |
| 01 (TX) | 1326043654 | RENDERING NPI |
| 01 (TX) | F5010 | TEXAS LICENSE |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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