NPI age
19 years
Enumerated 2006-10-02
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 164454401 | |
| 05 (TX) | 098249804 | |
| 05 (TX) | 0982498-01 | |
| 05 (TX) | 170001501 | |
| 05 (TX) | 098249803 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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