NPI age
20 years
Enumerated 2005-07-18
Across 15966 active family medicine providers in Texas.
10 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | LK08 | BCBS OF TEXAS |
| 05 (TX) | 153313501 | |
| 01 (TX) | 130087 | AETNA |
| 01 (TX) | J7064 | RAILROAD MEDICARE |
Multi-provider organization. 10 individual providers on file at this primary address.
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