NPI age
15 years
Enumerated 2011-04-28
Across 804 active technician, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 010839101 | |
| 01 (TX) | 530531 | BLUE CROSS BLUE SHIELD OF TX |
| 05 (TX) | 010839102 | |
| 05 (TX) | 016703301 |
Solo or small practice. No other active providers share this practice address in NPPES.
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