NPI age
19 years
Enumerated 2007-04-23
Across 6 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8F0272 | BLUE SHIELD |
| 01 (TX) | 8F0272 | BLUE CROSS |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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