NPI age
14 years
Enumerated 2012-05-16
Across 1647 active clinic/center providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 316285101 | |
| 01 (TX) | HH259A | BCBSA |
Multi-provider organization. 2 individual providers on file at this primary address.
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