NPI age
19 years
Enumerated 2006-09-25
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 042621502 | |
| 01 | 220019410 | RAILROAD MEDICARE |
| 01 | 83P518 | BCBS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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