NPI age
19 years
Enumerated 2006-07-25
Across 1797 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 87D558 | TEXAS BCBS ID NUMBER |
| 01 (TX) | 20214 | LICENSE NUMBER |
| 01 (TX) | 90075488 | ALABAMA BCBS ID NUMBER |
| 01 (TX) | 1387039 | UNITED CONCORDIA ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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