NPI age
19 years
Enumerated 2007-02-27
Across 1407 active specialist/technologist, other providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0043JR | BCBS OF TX |
| 01 | 487460100 | US DEPARTMENT OF LABOR |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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