NPI age
14 years
Enumerated 2011-06-22
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 859134 | MEDICARE |
| 01 (TX) | 8LS670 | BCBS |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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