NPI age
19 years
Enumerated 2006-09-06
Across 9237 active dentist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | B16040 | DELTA CHIP PROVIDER ID# |
| 05 (NM) | 12357 | |
| 01 (TX) | D16040 | BC BS PROVIDER # |
| 01 (TX) | 48983 | UNITED HEALTHCARE PROV # |
| 01 (TX) | 801043 | UNITED CONCORDIA INS. CO |
Multi-provider organization. 1 individual provider on file at this primary address.
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