NPI age
20 years
Enumerated 2006-03-24
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 80439K | BLUE SHIELD |
| 01 (TX) | 1163784-01 | CSHCN |
| 01 (TX) | 080161876 | RR/MEDICARE |
| 05 (TX) | 1163784-02 |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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