NPI age
14 years
Enumerated 2011-06-27
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 370083301 | |
| 01 (TX) | 75-1976930-005 | TRICARE |
| 01 (TX) | 8GM804 | BCBS |
| 01 (TX) | P01812509 | RAIL ROAD MEDICARE |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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