NPI age
9 years
Enumerated 2016-05-27
Across 6039 active emergency medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NH) | 25658 | STATE MEDICAL LICENSE |
| 05 (TX) | 399187901 | |
| 01 (TX) | S2234 | STATE MEDICAL LICENSE |
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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