NPI age
21 years
Enumerated 2005-05-24
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 80451Y | BLUE CROSS |
| 01 (TX) | T0120358 | CONTROLLED SUBSTANCES REG |
| 01 (TX) | 070016709 | MEDICARE RAILROAD |
| 05 (TX) | 150168601 | |
| 01 (TX) | 8312J1 | MEDICARE |
| 01 (AR) | 99096 | BLUE CROSS |
| 05 (AR) | 148032001 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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