NPI age
13 years
Enumerated 2012-06-07
Across 15966 active family medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 4701991 | AETNA |
| 01 (FL) | SP01D | FLORIDA BLUE |
| 01 (FL) | 6056340 | CIGNA |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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