NPI age
19 years
Enumerated 2006-07-24
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K0087437 | TX CONTROLLED SUBSTANCE |
| 01 (TX) | J5194 | STATE LICENSE NUMBER |
| 01 (TX) | BR3912296 | US CONTROLLED SUBSTANCE |
| 01 (TX) | 0025DH | BCBS NUMBER |
| 01 (TX) | 080132314 | RAILROAD MEDICARE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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