NPI age
19 years
Enumerated 2007-03-14
Across 1225 active clinic/center providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 18312-1 | PACIFICARE PROVIDER # |
| 01 (TX) | 007OHV | BCBS PROVIDER # |
| 01 (TX) | 7937419 | AETNA PROVIDER # |
Multi-provider organization. 6 individual providers on file at this primary address.
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