NPI age
19 years
Enumerated 2006-09-26
Across 894 active clinic/center providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 130713406 | |
| 05 (TX) | 130713412 | |
| 05 (TX) | 183600 | |
| 01 (TX) | TXB104577 | MEDICARE PTAN |
| 05 (TX) | 130713404 | |
| 05 (TX) | 130713410 | |
| 01 | 183600 | UNICARE |
| 05 (TX) | 130713409 | |
| 01 (TX) | QQ04 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 130713408 | |
| 05 (TX) | 1949 |
Multi-provider organization. 5 individual providers on file at this primary address.
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