NPI age
19 years
Enumerated 2006-06-30
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 160029802 | |
| 01 (TX) | P00688868 | RAIL ROAD |
| 01 (TX) | P01304431 | RAIL ROAD |
| 05 (TX) | 160029801 | |
| 01 (TX) | 752616977113 | TRICARE |
| 01 (TX) | 75-2616977-113 | TRICARE |
| 01 (TX) | 8DZ886 | BCBS BLUE |
| 05 (TX) | 152404312 | |
| 01 (TX) | 75-2616977-002 | TRICARE |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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