NPI age
18 years
Enumerated 2007-10-31
Across 640 active clinic/center providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | FTX078 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 147762201 |
Multi-provider organization. 5 individual providers on file at this primary address.
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