NPI age
19 years
Enumerated 2006-08-21
Across 15966 active family medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 171711803 | |
| 05 (TX) | 171711802 | |
| 01 (TX) | 0038MQ | BCBS GROUP NUMBER |
| 01 (TX) | DC8996 | MEDICARE RRW GROUP NUMBER |
Multi-site organization. 1 additional practice location on file.
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