NPI age
18 years
Enumerated 2007-10-30
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00687W | MEDICARE GROUP NUMBER |
| 05 (TX) | 1732844 | |
| 01 (TX) | 0018LB | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 4670934 | AETNA |
Single-site organization. Only one practice location on file.
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