NPI age
19 years
Enumerated 2007-02-07
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 123528 | MO BLUE SHIELD |
| 01 (AR) | 98348 | ARK BLUE SHIELD |
| 05 (MO) | 244010914 | |
| 05 (AR) | 143532003 |
Solo or small practice. No other active providers share this practice address in NPPES.
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