NPI age
19 years
Enumerated 2006-06-10
Across 293 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00J89E | BCBS |
| 05 (TX) | 110470503 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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