NPI age
19 years
Enumerated 2006-07-26
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1235153024 | |
| 05 (WA) | 8431041 | |
| 01 (TX) | 8TY198 | BLUECROSSBLUESHIELD PROVIDER ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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