NPI age
19 years
Enumerated 2007-01-26
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 86620X | BCBS |
| 01 (TX) | 072055635 | TEXAS RR MEDICARE |
| 01 (TX) | 4325609 | AETNA PROVIDER NUMBER |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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