NPI age
20 years
Enumerated 2005-10-05
Across 4038 active specialist providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 091574601 | |
| 01 (TX) | 00L35B | BCBS OF TX GRP PROV # |
| 01 (TX) | 129821100 | VALLEY HEALTH PLAN PROV # |
| 01 (TX) | 200005753 | RAILROAD MEDICARE PROV# |
| 01 (TX) | 78550A002 | TRICARE PROV. # |
| 05 (TX) | 091574602 |
Multi-provider organization. 3 individual providers on file at this primary address.
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