NPI age
20 years
Enumerated 2005-10-13
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 115591104 | FIRSTCARE |
| 01 (TX) | MDG2997 | WORKERS COMP |
| 01 (TX) | 119658 | SUPERIOR HEALTH PLAN |
| 05 (TX) | 130236601 | |
| 01 | 5086025 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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