NPI age
18 years
Enumerated 2007-07-05
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 0790012 | BLUE CROSS BLUE SHIELD |
| 05 (MI) | 2763572 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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