NPI age
20 years
Enumerated 2006-03-30
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 930097187 | RR/MEDICARE |
| 05 (TX) | 0461352-02 | |
| 01 (TX) | 85420Y | BLUE SHIELD |
Part of a multi-provider practice. 74 other active providers share this practice address in NPPES.
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