NPI age
18 years
Enumerated 2007-10-19
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10018514 | AMERIGROUP |
| 01 (TX) | 165802301 | MEDICAID GROUP |
| 01 (TX) | 165802302 | MEDICAID TEXAS HEALTH STE |
| 05 (TX) | 124934405 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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