NPI age
20 years
Enumerated 2006-02-23
Across 15966 active family medicine providers in Texas.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 135145401 | |
| 01 (TX) | 123297 | SUPERIOR |
| 05 (TX) | 135145411 | |
| 01 (TX) | 8S5938 | BLUE CROSS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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