NPI age
20 years
Enumerated 2006-04-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 8W7100 | BCBS |
| 05 (TX) | 128180002 | |
| 05 (TX) | 128180006 | |
| 01 | 85262X | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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