NPI age
20 years
Enumerated 2006-04-25
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 440000050 | RAIL ROAD MEDICARE |
| 01 (TX) | MDE5261 | WORKERS COMP |
| 01 (TX) | 4046840 | AETNA |
| 01 (TX) | 83M391 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | E5261 | STATE LICENSE |
| 05 (TX) | 124502902 | |
| 01 (TX) | 2226817 | BLUE LINK |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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