NPI age
12 years
Enumerated 2013-10-25
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA08202 | TEXAS MEDICAL BOARD |
| 01 | 0010-04262 | NORTH CAROLINA MEDICAL BOARD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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