NPI age
8 years
Enumerated 2017-08-21
Across 640 active clinic/center providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3765729001 | |
| 01 | 598796 | MEDICARE |
Multi-site organization. 3 additional practice locations on file.
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