NPI age
11 years
Enumerated 2015-04-24
Across 6039 active emergency medicine providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8JP611 | BCBS |
| 01 (TX) | 678779 | MEDICARE |
| 05 (NM) | 55478883 |
Part of a multi-provider practice. 94 other active providers share this practice address in NPPES.
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