NPI age
19 years
Enumerated 2007-04-19
Across 1466 active clinic/center providers in Texas.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 172872701 | |
| 01 (TX) | 8K5140 | BCBS IND# |
| 05 (TX) | 173118401 | |
| 01 (TX) | 1225042914 | IND NPI# |
Multi-provider organization. 15 individual providers on file at this primary address.
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