NPI age
20 years
Enumerated 2005-08-29
Across 1738 active physical medicine & rehabilitation providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00T18F | BLUE CROSS BLUE SHIELD # |
| 01 (TX) | 250010571 | RAILROAD MEDICARE |
| 01 (TX) | 101931100 | VALLEY HEALTH PLANS # |
| 05 (TX) | 100119003 | |
| 01 (TX) | 8C8373 | MEDICARE INDIVIDUAL |
| 01 (TX) | B001 | TRICARE PROVIDER # |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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