NPI age
19 years
Enumerated 2006-07-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121011402 | |
| 01 (TX) | 83X657 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 1G9945 | MEDICARE |
| 01 (TX) | P02569428 | MEDICARE RAILROAD |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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