NPI age
20 years
Enumerated 2006-03-30
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1297277-14 | |
| 01 (TX) | 1297277-15 | CSHCN |
| 01 (TX) | 8K9434 | BC/BS |
| 05 (TX) | 129727711 | |
| 01 (TX) | P00220296 | RR/MEDICARE |
| 01 (TX) | 8P0381 | BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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