NPI age
20 years
Enumerated 2005-06-01
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0035JE | BCBS PROVIDER ID |
| 01 (TX) | 2984668 | AETNA PROVIDER ID |
Solo or small practice. No other active providers share this practice address in NPPES.
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