NPI age
19 years
Enumerated 2006-08-10
Across 100 active preventive medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 00A547431 | BLUE SHIELD |
| 05 (CA) | 00A547430 |
Solo or small practice. No other active providers share this practice address in NPPES.
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