NPI age
18 years
Enumerated 2007-07-17
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 280693701 | |
| 01 (TX) | P02601719 | MCRR |
| 01 (TX) | 1L4747 | MEDICARE |
| 01 (TX) | P02601763 | MCRR |
| 05 (TX) | 280693702 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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