NPI age
19 years
Enumerated 2006-10-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | 785873 | HEALTHLINK |
| 05 (AR) | 163962001 | |
| 01 (AR) | 07110012300 | QUALCHOICE |
| 01 (AR) | 7940907 | AETNA |
| 01 (GA) | 90004 | LICENSE |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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