NPI age
20 years
Enumerated 2006-02-14
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 136252713 | |
| 01 (TX) | 752616977028 | TRICARE |
| 05 (TX) | 136252712 | |
| 05 (TX) | 138737515 | |
| 01 (TX) | 8S3318 | BCBS OF TEXAS |
| 05 (TX) | 136252704 | |
| 01 (TX) | 75-2616977-066 | TRICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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