NPI age
20 years
Enumerated 2006-01-05
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 151719501 | |
| 01 (TX) | 0078JE | BLUE CROSS BLUE SHIELD |
| 01 (TX) | P02097550 | MCRR |
| 01 (TX) | 8JK361 | BCBS |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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