NPI age
20 years
Enumerated 2006-03-07
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 1184691214 | BLUE SHIELD |
| 05 (KS) | 200372730C | |
| 05 (TX) | 030052702 | |
| 05 (KS) | 200607500A | |
| 05 (KS) | 200607500B |
Part of a multi-provider practice. 141 other active providers share this practice address in NPPES.
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