NPI age
1 years
Enumerated 2024-08-13
Across 15966 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 101936601 | |
| 01 (TX) | 45D1056254 | CLIA |
| 01 (TX) | K2081 | PHYSICIAN STATE LICENSE |
Multi-provider organization. 1 individual provider on file at this primary address.
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