NPI age
19 years
Enumerated 2006-06-29
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DU4497 | MEDICARE GROUP PTAN |
| 05 (TX) | P000D29E6 | |
| 01 (TX) | P01278536 | PROVIDER PTAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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