NPI age
19 years
Enumerated 2006-07-10
Across 56 active physical medicine & rehabilitation providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 1317X | NCBCBS |
| 05 (NC) | 891317X | |
| 05 (SC) | QH8772 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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