NPI age
20 years
Enumerated 2006-01-26
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 165826202 | |
| 01 (TX) | 8DE650 | BLUE CROSS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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