NPI age
20 years
Enumerated 2005-08-19
Across 4038 active specialist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 020041051 | MEDICARE RR |
| 01 (TX) | 5880610001 | CIGNA |
| 01 (TX) | 78161 | AMERIGROUP |
| 01 (TX) | 752757262 | TAX ID |
| 01 (TX) | 2159803 | AETNA HMO |
| 01 (TX) | 1822273 | UNITED HEALTHCARE |
| 05 (TX) | 0309551-01 | |
| 01 (TX) | 5768505 | AETNA |
| 01 (TX) | 8G0301 | BC/BS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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