NPI age
20 years
Enumerated 2005-07-01
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 138189912 | |
| 01 (TX) | 81C076 | B/C B/S |
| 01 (TX) | 1282697006 | CIGNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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