NPI age
20 years
Enumerated 2005-10-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157055804 | |
| 01 (TX) | 1L5763 | MEDICARE |
| 05 (TX) | 157055808 | |
| 01 (TX) | P02601766 | MCRR |
| 01 (TX) | 00K51Q | BCBS GROUP/COAST. BND FAM |
| 05 (TX) | 157055807 | |
| 01 (TX) | 8G1442 | BCBS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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