NPI age
19 years
Enumerated 2007-04-02
Across 4038 active specialist providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 112084202 | |
| 01 (TX) | 8F9662 | INDIVIDUAL BCBS# |
| 05 (TX) | 172865101 | |
| 05 (TX) | 112084201 | |
| 05 (TX) | 200669401 | |
| 01 (TX) | 8F9660 | BCBS INDIVIDUAL# |
| 05 (TX) | 172864401 | |
| 05 (TX) | 172864402 | |
| 01 (TX) | 0024HW | BCBS GROUP# |
Multi-provider organization. 2 individual providers on file at this primary address.
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