NPI age
20 years
Enumerated 2006-02-22
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 033779201 | |
| 01 (TX) | 414780 | WELLCARE IDENTIFICATION NUMBER |
| 01 (TX) | 9033679 | CIGNA |
| 01 | 10038712 | AMERIGROUP |
| 01 (TX) | 110148312 | RAILROAD MEDICARE |
| 01 (TX) | 4458279 | AETNA |
| 01 (TX) | B0081062 | DPS |
| 01 (TX) | 8X6990 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | J1204 | LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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