NPI age
20 years
Enumerated 2006-03-30
Across 6039 active emergency medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 213105401 | |
| 01 (TX) | 8CH899 | BCBS TX |
| 01 (TX) | 1417918384 | TRI CARE SOUTH |
| 01 (TX) | 1417918384 | BCBS TX |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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