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BlueCross BlueShield of Texas
NPI
   
 
         
     
 

Network Data Access Services (NDAS) Online Enrollment
  

Network Data Access Services (NDAS) Online Enrollment

To be eligible for NDAS Online you must have a valid National Provider Identifier (NPI). Please complete one form for each site (separate facility) utilizing a different organizational (Type 2) NPI. Processing time is 2 - 3 weeks. Your enrollment document will be sent via email.

Site Information
* indicates a required field

*Provider/Site Name  
*Street Address

 
Address Line 2  
*City/*State/*Zip: / /  
*Contact Name:
*Contact Phone  /  /  
*Contact Fax  /  /   
*Contact Email   
*Site NPI Number (Type 2)
NPI must be 10 digits.
Example: 1234567890		  
*Number of User IDs Requested

If you wish to access information for multiple providers, enter each provider's name, individual (Type 1) NPI, and Tax ID Number below:

Provider
Name
NPI
(Type 1)
Tax ID
Number

  

A Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
© Copyright 2008. Health Care Service Corporation. All Rights Reserved.

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