NPI age
7 years
Enumerated 2018-09-18
Across 429 active custodial care facility providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 502263039 | |
| 05 (TX) | 530211726 |
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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