NPI age
19 years
Enumerated 2006-09-13
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 8J9284 | BCBS |
| 01 | 4136869 | BLUELINKID |
| 01 | 8K0447 | PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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