NPI age
12 years
Enumerated 2014-03-26
Across 6039 active emergency medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 378210405 | |
| 01 (TX) | 8QB978 | BCBS |
| 01 (TX) | 1U2435 | MEDICARE |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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