NPI age
19 years
Enumerated 2006-12-12
Across 9237 active dentist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100845850A | |
| 01 (TX) | 1558537316 | GROUP NPI |
| 05 (TX) | 1862898 | |
| 01 (TX) | 1528917432 | GROUP NPI |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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