NPI age
18 years
Enumerated 2008-05-27
Across 15966 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0001WY | BCBS |
| 05 (TX) | 288926301 | |
| 01 (TX) | M8364 | LICENSE NUMBER |
Multi-provider organization. 1 individual provider on file at this primary address.
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