NPI age
20 years
Enumerated 2005-07-21
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | A004 | TRICARE/CHAMPUS |
| 01 (TX) | 0020HD | GROUP BCBS |
| 01 (TX) | 130025171 | RAILROAD MEDICARE |
| 05 (TX) | 148913001 | |
| 05 (TX) | 030255603 | |
| 01 (TX) | 4649893001 | CIGNA |
| 01 (TX) | 5194643 | AETNA |
| 01 (TX) | 8F3762 | BCBS PROVIDER ID |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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