NPI age
20 years
Enumerated 2006-05-15
Across 6039 active emergency medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MD) | 0137 | BLUE CROSS |
| 05 (GA) | 342360871B | |
| 01 (GA) | 0137 | BLUE CROSS |
| 01 (GA) | P00334342 | RAILRAOD MEDICARE |
| 01 (GA) | 361896 | WELLCARE |
| 05 (GA) | 342360871A | |
| 05 (MD) | 419682100 | |
| 01 (HI) | MD-25719 | STATE LICENSE |
| 01 (GA) | 52173131 | BCBS |
Part of a multi-provider practice. 222 other active providers share this practice address in NPPES.
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