NPI age
19 years
Enumerated 2007-02-13
Across 15966 active family medicine providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 161098201 | |
| 05 (TX) | 1295877264 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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