NPI age
20 years
Enumerated 2005-07-07
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 157343801 | MEDICAID GROUP NUMBER |
| 01 | 00909U | MEDICARE GROUP NUMBER |
| 05 (TX) | 045009002 | |
| 01 | P00004304 | RAILROAD MEDICARE NUMBER |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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