NPI age
19 years
Enumerated 2007-01-09
Across 139 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1448342-01 | |
| 01 (TX) | 4241HM | BLUE CROSS BLUE SHIELD |
Single-site organization. Only one practice location on file.
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