NPI age
19 years
Enumerated 2007-03-05
Across 1797 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MA) | 0000ZBX696 | BCBS OF MA ID# |
| 01 (AL) | 900-53478 | BCBS OF ALABAMA ID# |
| 01 (UT) | 75288660401011 | BCBS OF UTAH ID# |
| 01 (TX) | 861423 | UNITED CONCORDIA ID # |
| 01 (TX) | 85D713 | BCBS OF TEXAS PROVIDER # |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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