NPI age
19 years
Enumerated 2007-04-06
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8R7201 | BCBSTX PROVIDER # |
| 05 (TX) | 096322509 | |
| 01 (TX) | 14540 | PARKLAND PROVIDER # |
| 01 (TX) | 752947854 | TAX ID |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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