NPI age
18 years
Enumerated 2007-07-03
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CA) | 0256332 | |
| 01 | 1225236946 | NPI |
| 01 | G73588 | MEDICAL BOARD OF CALIFORNIA |
| 01 (MS) | 22886 | MISSISSIPPI MEDICAL LICENSE |
| 01 | ME97508 | MEDICAL BOARD OF FLORIDA |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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