NPI age
20 years
Enumerated 2005-08-04
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 88038X | BCBS |
| 05 (TX) | 116071505 | |
| 01 (TX) | F9609 | TX LICENSE NUMBER |
| 05 (TX) | 116071504 |
Part of a multi-provider practice. 59 other active providers share this practice address in NPPES.
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