NPI age
20 years
Enumerated 2006-01-20
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 154810901 | |
| 01 (TX) | 1255311569 | TRICARE SOUTH |
| 05 (TX) | 154810902 | |
| 01 (TX) | 8G1507 | BCBSTX PROV NO |
Part of a multi-provider practice. 103 other active providers share this practice address in NPPES.
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