NPI age
20 years
Enumerated 2005-06-23
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 085574401 | |
| 01 (TX) | 127310100 | FIRST CARE |
| 05 (TX) | 114791001 | |
| 01 | 84Z209 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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