NPI age
19 years
Enumerated 2006-07-19
Across 6039 active emergency medicine providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P4257 | MEDICAL LICENSE |
| 01 | 14148510 | CAQH |
| 05 (OR) | 999999 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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