NPI age
19 years
Enumerated 2006-08-20
Across 9237 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 150112402 | |
| 05 (TX) | 150112401 |
Multi-site organization. 1 additional practice location on file.
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