NPI age
19 years
Enumerated 2006-11-02
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00DN90 | MEDICARE |
| 05 (TX) | 135520801 | |
| 01 (TX) | 080456601 | MEDICARE RAILROAD |
| 01 (TX) | 00DN90 | BLUE CROSS BLUE SHEILD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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