NPI age
20 years
Enumerated 2006-04-01
Across 1597 active pathology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 218122401 | |
| 01 (TX) | P00912147 | RR MEDICARE |
| 01 (TX) | 8CQ856 | BCBS |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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