NPI age
14 years
Enumerated 2012-03-06
Across 575 active clinic/center providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 1396891032 | TYPE 1 NPI |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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