NPI age
19 years
Enumerated 2007-01-18
Across 16582 active physical therapist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 087722701 | |
| 01 (TX) | 650405 | BLUECROSS SHIELD |
| 01 (TX) | 752214119 | COMMERCIAL |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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