NPI age
20 years
Enumerated 2005-05-31
Across 44 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 123135904 | |
| 01 (TX) | 8AJ715 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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