NPI age
20 years
Enumerated 2006-03-09
Across 6039 active emergency medicine providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 080402309 | |
| 01 (TX) | 182797400 | DOL OWCP GRP PROV NO |
| 01 (TX) | 0046DE | BCBSTX GROUP PROV NUMBER |
Multi-provider organization. 7 individual providers on file at this primary address.
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