NPI age
20 years
Enumerated 2005-08-01
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 120669004 | EPS DT |
| 05 (TX) | 120669005 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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