NPI age
20 years
Enumerated 2006-04-06
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 102158604 | |
| 01 (TX) | 8B4288 | BCBS |
| 05 (TX) | 102158605 | |
| 01 (TX) | 080177675 | RR MEDICARE |
| 05 (TX) | 102158603 | |
| 05 (TX) | 102158606 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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