NPI age
15 years
Enumerated 2010-06-11
Across 894 active clinic/center providers in Texas.
16 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 286905901 | |
| 01 (TX) | FQ0000676 | MEDICAID |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 16 individual providers on file at this primary address.
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