NPI age
20 years
Enumerated 2006-04-28
Across 1632 active dermatology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1275620-01 | |
| 01 (TX) | 070013805 | RAILROAD MEDICARE |
| 01 (TX) | 0090DT | BLUE CROSS/BLUE SHIELD |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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