NPI age
16 years
Enumerated 2010-03-01
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 111408402 | |
| 05 (TX) | 111408401 |
Part of a multi-provider practice. 126 other active providers share this practice address in NPPES.
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