NPI age
19 years
Enumerated 2007-01-29
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 116798 | BCBS OF KANSAS |
| 01 (TX) | B19764-01 | CHIPS PROVIDER NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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