NPI age
19 years
Enumerated 2006-07-03
Across 1738 active physical medicine & rehabilitation providers in Texas.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0035BM | BC/BS GROUP # |
| 01 (TX) | 84961F | BC/BS INDIVIDUAL # |
| 01 (TX) | AETNA | 4418351 |
| 05 (TX) | 120434903 |
Multi-provider organization. 11 individual providers on file at this primary address.
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