NPI age
19 years
Enumerated 2007-01-22
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 331367801 | |
| 01 (TX) | P01510480 | RR MEDICARE |
| 01 (TX) | P01110846 | RR MEDICARE |
| 05 (TX) | 331367802 | |
| 01 (TX) | 8DH104 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8DY923 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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