NPI age
20 years
Enumerated 2005-08-25
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K5629 | TEXAS STATE LICENSE |
| 05 (TX) | 127574501 |
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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