NPI age
20 years
Enumerated 2006-01-05
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0421521003 | |
| 01 (TX) | P00155077 | RAILROAD MEDICARE |
| 01 (AR) | 5K929 | BLUE CROSS BLUE SHIELD |
| 05 (AR) | 135873001 | |
| 01 (TX) | 8M5291 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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