NPI age
14 years
Enumerated 2011-12-28
Across 73 active chore provider providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 294317703 | |
| 01 (TX) | 8761UG | BCBS |
| 01 (TX) | P01358214 | RR |
Part of a multi-provider practice. 365 other active providers share this practice address in NPPES.
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