NPI age
19 years
Enumerated 2007-01-18
Across 15966 active family medicine providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1569600-01 | |
| 01 (TX) | 0066JQ | BLUE CROSS GROUP |
Multi-provider organization. 3 individual providers on file at this primary address.
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