NPI age
20 years
Enumerated 2006-04-05
Across 1466 active clinic/center providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 079946202 | |
| 01 (TX) | 00128N | MEDICARE PTAN |
| 01 (TX) | 5900480001 | PTAN |
Multi-provider organization. 3 individual providers on file at this primary address.
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