NPI age
19 years
Enumerated 2006-06-22
Across 2087 active general practice providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120302808 | |
| 05 (TX) | 120302805 | |
| 05 (TX) | 120302807 | |
| 01 (TX) | 8P9301 | BLUE CROSS BLUE SHIELD OF |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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