NPI age
20 years
Enumerated 2006-04-24
Across 689 active clinic/center providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00U72J | BLUE CROSS/BLUE SHIELD |
| 05 (TX) | 121186403 |
Multi-provider organization. 7 individual providers on file at this primary address.
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