NPI age
19 years
Enumerated 2006-06-28
Across 125 active family medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (AL) | 009901505 | |
| 05 (AL) | 009913605 | |
| 01 (AL) | 051513539 | BLUE CROSS |
| 01 (AL) | 051523723 | BLUE CROSS |
| 05 (AL) | 009931585 | |
| 01 (AL) | 051510522 | BLUE CROSS |
| 05 (AL) | 051510522 | |
| 01 (AL) | 051511120 | BLUE CROSS |
Part of a multi-provider practice. 995 other active providers share this practice address in NPPES.
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