NPI age
20 years
Enumerated 2006-05-18
Across 640 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | P00093361 | RRMEDICARE |
| 01 (TX) | 0310DC | BLUE CROSS/BLUE SHIELD |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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