NPI age
20 years
Enumerated 2005-10-26
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 155175607 | CSHCN DENTAL MEDICAID |
| 01 (TX) | 155175606 | THSTEPS DENTAL MEDICAID |
| 01 (TX) | 155175609 | CSHCN MEDICAL MEDICAID |
| 01 (TX) | 155175608 | TRADITIONAL MEDICAID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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