NPI age
19 years
Enumerated 2006-06-23
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 042190101 | |
| 01 (TX) | 126961501 | GROUP MEDICAID |
| 01 (TX) | 00R38T | GROUP MEDICARE |
| 01 | 1952326993 | GROUP NPI |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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