NPI age
14 years
Enumerated 2012-04-27
Across 2087 active general practice providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 115683801 | |
| 01 (TX) | 10019809 | AMERIGROUP |
| 01 (TX) | 115683804 | THSTEPS |
Multi-provider organization. 1 individual provider on file at this primary address.
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