NPI age
20 years
Enumerated 2006-05-28
Across 4038 active specialist providers in Texas.
18 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00K55R | BCBS OF TEXAS |
| 05 (LA) | 1736996 | |
| 01 | 4333749 | AETNA |
Multi-provider organization. 18 individual providers on file at this primary address.
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