NPI age
19 years
Enumerated 2006-07-14
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00002543047 02 | UNITED HEALTHCARE ID# |
| 01 (TX) | 11483636 | CAQH ID# |
| 01 (TX) | 3633943002 | CIGNA PCP ID# |
| 01 (TX) | 0062MT | BCBS PROVIDER NUMBER |
| 01 (TX) | 7694707 | AETNA PROVIDER ID# |
| 01 (TX) | 0159160655 | PACIFICARE ENROLLMENT ID# |
| 01 (TX) | 9391387 | PHCS PCP ID# |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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