NPI age
17 years
Enumerated 2008-06-02
Across 1335 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 11568031 | CAQH PROVIDER ID |
| 01 (TX) | 1235200072 | NPI NUMBER |
| 01 (TX) | 0023NU | BC/BS PROVIDER NUMBER |
Single-site organization. Only one practice location on file.
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