NPI age
13 years
Enumerated 2013-05-23
Across 6039 active emergency medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8HB331 | BCBS |
| 01 (TX) | 413557YS6P | MEDICARE |
| 05 (TX) | 346096614 | |
| 01 (TX) | 75-0818167-044 | TRICARE |
| 01 (TX) | 75-0818167-048 | TRICARE |
| 01 (TX) | P01912520 | MEDICARE RAIL ROAD |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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