NPI age
19 years
Enumerated 2006-08-07
Across 251 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 0016MT | BLUE CROSS |
| 05 (TX) | 045693102 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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