NPI age
19 years
Enumerated 2006-12-05
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | D19239 | BLUE CROSS BLUE SHIELD |
| 01 (VI) | 105690 | ANTHEM BCBS VI |
| 01 (AR) | 277330 | UNITED CONCORDIA |
| 01 (AR) | 97859 | BLUE CROSS BLUE SHIELD AR |
| 05 (TX) | 090180301 | |
| 01 (AL) | 900-53697 | BCBS OF AL |
| 05 (AR) | 135572679 | |
| 01 (TN) | 3109694 | BCBS OF TN |
| 05 (TX) | 090180302 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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