NPI age
19 years
Enumerated 2006-10-02
Across 689 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00FG03 | MEDICARE PART B |
| 01 (TX) | 122943704 | MEDICAID HOSPITAL |
| 05 (TX) | 063412301 | |
| 05 (TX) | 1013185289 | |
| 05 (TX) | 122943704 | |
| 05 (TX) | 1730272543 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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