NPI age
18 years
Enumerated 2008-01-22
Across 4038 active specialist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 174317101 | |
| 01 (TX) | DD2664 | RAILROAD MEDICARE |
| 01 (TX) | 0054MS | BCBSTX |
Single-site organization. Only one practice location on file.
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