NPI age
19 years
Enumerated 2007-01-09
Across 9237 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 000000215988 | UNITED HEALTHCARE |
| 01 (TX) | 1691637 | UNITED CONCORDIA ID |
| 01 (TX) | B20278-01 | TEXAS CHIP |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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