NPI age
19 years
Enumerated 2006-07-23
Across 1466 active clinic/center providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 045386202 | |
| 01 (TX) | 0A3440 | MEDICARE GROUP PTAN |
| 01 (TX) | 8F20689 | MEDICARE INDIV PTAN INDVID NPI |
| 01 | 0A3440 | MEDICARE INDIVID PTAN FOR GRP NPI |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 3 individual providers on file at this primary address.
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