NPI age
20 years
Enumerated 2005-08-19
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 200046278 | RAILROAD MEDICARE PTAN |
| 05 (TX) | 100126503 | |
| 01 (TX) | 8AW412 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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