NPI age
20 years
Enumerated 2006-04-19
Across 1165 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1127383-03 | |
| 01 (TX) | HH6381 | BLUE CROSS |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Scott & White Memorial Hospital.
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