NPI age
18 years
Enumerated 2007-06-14
Across 319 active pain medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 195341602 | |
| 01 (TX) | 8U8518 | BCBS OF TEXAS |
| 05 (TX) | 1953411601 | |
| 01 (TX) | TIN PLUS 042 | TRICARE |
Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.
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