NPI age
19 years
Enumerated 2007-02-20
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0004HA | BLUE CROSS |
| 05 (TX) | 139948723 | |
| 01 (TX) | TXB148303 | MEDICARE INDIVIDUAL # |
| 05 (TX) | 139948724 | |
| 05 (TX) | 139948725 | |
| 01 (TX) | 74045 | AMERIGROUP |
| 01 (TX) | TXB148304 | MEDICARE GROUP # |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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