NPI age
17 years
Enumerated 2008-06-10
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 063566601 | |
| 01 (TX) | 1396905725 | NPI |
| 01 (TX) | 00N49A | MEDARE PART B |
| 01 (TX) | 458679 | GROUP MEDICARE |
| 01 (TX) | 00N49A | BCBS |
| 05 (TX) | 063566602 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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