NPI age
20 years
Enumerated 2005-12-22
Across 894 active clinic/center providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 093808601 | |
| 01 (TX) | CO9129 | RR MEICARE |
| 05 (TX) | 2836108-01 | |
| 05 (TX) | 092955601 | |
| 05 (TX) | 092955603 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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