NPI age
19 years
Enumerated 2007-01-11
Across 4038 active specialist providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DA2698 | RAILROAD MEDICARE |
| 01 (TX) | 0012HZ | BCBS |
| 01 (OK) | 200003550A | OKLAHOMA MEDICAID |
| 05 (TX) | 153197201 | |
| 01 (TX) | 007847195 | AETNA |
Multi-provider organization. 5 individual providers on file at this primary address.
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