NPI age
21 years
Enumerated 2005-05-24
Across 803 active pain medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8M7921 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 108933105 | FIRSTCARE PROVIDER # |
| 05 (TX) | 170407401 |
Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.
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