NPI age
20 years
Enumerated 2006-01-17
Across 6039 active emergency medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | P01255063 | RAIL ROAD |
| 05 (TX) | 200179401 | |
| 05 (TX) | 200179402 | |
| 01 (TX) | 750818167048 | TRICARE |
| 01 (TX) | 8DU755 | BCBS |
| 01 (TX) | P00718738 | RAIL ROAD |
| 05 (TX) | 200179404 | |
| 01 (TX) | 75-0818167-022 | TRICARE |
| 01 (TX) | 751976930005 | TRICARE |
| 01 (TX) | P00792068 | RAIL ROAD |
| 05 (TX) | 200179403 | |
| 01 (TX) | 8DU754 | BCBS |
| 01 (TX) | 750818167-044 | TRICARE |
| 01 (TX) | 750818167015 | TRICARE |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 75-2616977-028 | TRICARE |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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