NPI age
20 years
Enumerated 2005-07-20
Across 43 active clinic/center providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 490002105 | PALMETTO GBA RR MEDICARE |
| 01 (TX) | HH1285 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 085890401 |
Multi-provider organization. 2 individual providers on file at this primary address.
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