NPI age
19 years
Enumerated 2007-04-13
Across 4038 active specialist providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 080157301 | |
| 05 (TX) | 134243801 | |
| 01 (TX) | 00214N | BCBS |
Multi-provider organization. 7 individual providers on file at this primary address.
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