NPI age
20 years
Enumerated 2006-03-25
Across 1738 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1051948-02 | |
| 01 (TX) | 86J280 | MEDICARE PTAN |
| 01 (TX) | 250011873 | RR/MEDICARE |
| 01 (TX) | 86J280 | BLUE SHIELD |
| 01 (TX) | 1051948-01 | CSHCN |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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