NPI age
20 years
Enumerated 2006-02-17
Across 2087 active general practice providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 124911203 | |
| 01 (TX) | 8A0581 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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