NPI age
20 years
Enumerated 2005-07-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01200574 | RAIL ROAD |
| 01 (TX) | 8DQ314 | BCBS |
| 05 (TX) | 046531205 | |
| 05 (TX) | 046531203 | |
| 01 (TX) | 752616977042 | TRICARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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