NPI age
19 years
Enumerated 2006-07-09
Across 6039 active emergency medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4107931 | BLUE CROSS |
| 05 (AL) | 009932301 | |
| 05 (TN) | 3875723 | |
| 05 (GA) | 141246039B |
Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.
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