NPI age
14 years
Enumerated 2011-06-27
Across 894 active clinic/center providers in Texas.
19 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00P907 | BCBS TX |
| 05 (TX) | 312641901 |
Multi-provider organization. 19 individual providers on file at this primary address.
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