Section I-Individual Information - Texas Department of ...
Pursuant to Texas Insurance Code ยง 1452.052, LHL234 Rev. 01/07 is promulgated by the Texas Department of Insurance. Please send this application to the carrier with whom you wish to become credentialed. Texas Standardized Credentialing Application (Please type or print. LHL234 Rev.01/07 1 of 20. LHL234 Rev.01/07 20 of 20 ................
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