NPI age
13 years
Enumerated 2013-04-03
Across 237 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 378685701 | |
| 01 (TX) | P02601815 | MCRR |
| 05 (TX) | 378685702 | |
| 01 (TX) | 1L5017 | MEDICARE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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