NPI age
18 years
Enumerated 2007-08-28
Across 100 active preventive medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 280860205 | |
| 05 (TX) | 280860201 | |
| 05 (OK) | 200180930A | |
| 05 (TX) | 280860202 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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