NPI age
20 years
Enumerated 2005-06-01
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0025LE | BLUE CROSS OF TEXAS |
| 01 (TX) | 11518101 | FIRST CARE/SW LIFE |
| 05 (TX) | 164624201 | |
| 01 (TX) | 200172742 | HUMANA MILITARY |
| 05 (TX) | 164624202 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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