NPI age
20 years
Enumerated 2006-05-28
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 097777901 | |
| 01 (TX) | E9531 | PHYSICIAN PERMIT |
| 01 (TX) | 687562 | AETNA |
| 01 (TX) | CIGNA | 3739015001 |
| 01 (TX) | 0082GS | BLUE CROSS |
| 01 (TX) | S0033018 | DPS |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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