NPI age
19 years
Enumerated 2006-08-29
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00375637 | RR MCR |
| 01 (TX) | 8W5070 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 184196701 |
Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.
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