NPI age
19 years
Enumerated 2007-01-16
Across 1225 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 7054658 | AETNA |
| 01 (TX) | 8T2314 | BCBS |
Single-site organization. Only one practice location on file.
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