NPI age
19 years
Enumerated 2006-08-20
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00178727 | RAILROAD MEDICARE |
| 01 (TX) | L8002 | STATE LICENSE |
| 01 (TX) | 8P1541 | BLUE CROSS |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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