NPI age
20 years
Enumerated 2006-02-06
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 174204102 | |
| 05 (TX) | 174204109 | |
| 01 (TX) | 8U5313 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | H08MM43001 | BCBS |
| 05 (TX) | 174204111 | |
| 01 (TX) | P00263584 | RAILROAD MEDICARE |
Part of a multi-provider practice. 234 other active providers share this practice address in NPPES.
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