NPI age
19 years
Enumerated 2006-09-07
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | A007 | TRICARE |
| 01 | 8AJ529 | BLUE CROSS BLUE SHIELD |
| 01 | 080111585 | RAILROAD MEDICARE |
| 01 | 5575460001 | PALMETTO |
| 05 (TX) | 115817204 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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