NPI age
9 years
Enumerated 2017-03-13
Across 1407 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AT9356 | LAT |
| 01 | 100280128 | NBSTSA |
| 01 | 20-9011 | NBCOTA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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