NPI age
19 years
Enumerated 2006-12-06
Across 15966 active family medicine providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10027616 | AMERIGROUP GROUP NUMBER |
| 01 (TX) | 13085 | PARKLAND GROUP NUMBER |
| 01 (TX) | H08V4391 | BLUE CROSS BLUE SHIELD IN |
| 01 (TX) | 0086NL | BLUE CROSS BLUE SHIELD GR |
| 01 (TX) | 8V4390 | BLUE CROSS BLUE SHIELD IN |
| 01 (TX) | 434703 | AETNA INDIVIDUAL |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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