NPI age
19 years
Enumerated 2007-01-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 113338102 | |
| 01 (TX) | D1001 | MEDICAL LICENSE |
| 01 (TX) | 50EK | BCBS OF TEXAS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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