NPI age
20 years
Enumerated 2006-05-28
Across 1647 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 085869801 | |
| 01 (TX) | 49004797 | PALMETTO GBA |
| 01 (TX) | HH1256 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 490000381 | CARE |
Single-site organization. Only one practice location on file.
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