NPI age
20 years
Enumerated 2006-03-09
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1352064-27 | |
| 01 | 1700854569 | NPI |
| 01 (TX) | 8EP990 | BCBSTX |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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