NPI age
20 years
Enumerated 2005-06-24
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8FY021 | BCBS |
| 01 (TX) | 752616977118 | TRICARE |
| 05 (TX) | 175657904 | |
| 01 (TX) | P01681642 | RAIL ROAD MEDICARE |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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