NPI age
12 years
Enumerated 2013-06-05
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8GC634 | BCBS |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 752616977029 | TRICARE |
| 05 (TX) | 365293501 | |
| 01 (TX) | P01719386 | RAIL ROAD MEDICARE |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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