NPI age
20 years
Enumerated 2005-08-16
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 943417821 | TAX ID |
| 05 (TX) | 030189902 | |
| 01 (TX) | 110202064 | RAIL ROAD MEDICARE |
| 01 (TX) | 8AD895 | BC/BS |
| 01 (TX) | 0060466 | BLUE LINK |
| 01 (TX) | 7160045 | AETNA |
| 05 (TX) | 030819901 |
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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