NPI age
19 years
Enumerated 2006-10-18
Across 6039 active emergency medicine providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 02320045 | |
| 05 (OK) | 200033590A | |
| 05 (TX) | 110700503 | |
| 01 | 14148503 | CAQH |
| 01 (KS) | 04-46442 | STATE MEDICAL LICENSE |
| 01 (TX) | 82940G | BLUE CROSS & BLUE SHIELD |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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