NPI age
13 years
Enumerated 2012-06-21
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NV) | P01587694 | RAILROAD MEDICARE |
| 01 | 12682258 | CAQH |
| 05 (NV) | 1215290499 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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