NPI age
19 years
Enumerated 2006-08-11
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 154682202 | |
| 01 (TX) | 1K1982 | MEDICARE |
| 01 (TX) | P02601529 | MCRR |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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