NPI age
20 years
Enumerated 2006-05-12
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 002000328J | HUMANA |
| 01 (WI) | 0011368086 | WISCONSIN MEDICARE |
| 05 (WI) | 32004300 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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